PORTLAND CARDIOLOGY P.A. NPI 1619075090

NPI Information

NPI: 1619075090
Provider Name: PORTLAND CARDIOLOGY P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 20D2238932

Address:
1250 FOREST AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 878-5051
Get Directions

PORTLAND CARDIOLOGY P.A. is a cardiovascular disease internal medicine in Portland, ME. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PORTLAND CARDIOLOGY P.A. NPI is 1619075090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 FOREST AVE
PORTLAND, ME
ZIP 04103-884
Phone: (207) 878-5051

The provider's authorized official is Charles S Hoag .
The authorized official title is Cardiologist and has the following contact phone number (207) 878-5051.

The CLIA number assigned to this NPI record is 20D2238932 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	993	MAINE	Yes

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

NPI Synchronization or Removal

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