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PORTLAND GASTROENTEROLOGY ASSOCIATES P.A. NPI 1508087289


NPI Information

NPI: 1508087289
Provider Name: PORTLAND GASTROENTEROLOGY ASSOCIATES P.A.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
161 MARGINAL WAY
PORTLAND, ME
ZIP 04101
Phone: (207) 773-7964
Get Directions

PORTLAND GASTROENTEROLOGY ASSOCIATES P.A. is a gastroenterology internal medicine in Portland, ME. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PORTLAND GASTROENTEROLOGY ASSOCIATES P.A. NPI is 1508087289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

161 MARGINAL WAY
PORTLAND, ME
ZIP 04101
Phone: (207) 773-7964
Fax: (207) 773-9073

The provider's authorized official is Melissa Gousse .
The authorized official title is Practice Administrator and has the following contact phone number (207) 773-7964.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111280000MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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