MAINEHEALTH NPI 1649577768

NPI Information

  • NPI: 1649577768
  • Provider Name: MAINEHEALTH
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Doing Business As: MAINE MEDICAL PARTNERS OTOLARYNGOLOGY
  • Address: 1250 FOREST AVE
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 797-5753

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NPI Details

MAINEHEALTH is an otolaryngology in Portland, ME. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MAINEHEALTH NPI is 1649577768. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Maine Medical Partners Otolaryngology.

The provider's business location address is:

1250 FOREST AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 797-5753
Fax: (207) 797-9571

The provider's authorized official is Lugene Anthony Inzana .
The authorized official title is Associate Cfo and has the following contact phone number (207) 662-3538.

The enumeration date for this NPI number is 2/25/2011 and was last updated on 12/19/2022.

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
1231H00000XAudiologistNo
2282N00000XGeneral Acute Care Hospital37563MAINENo
3363AM0700XPhysician AssistantMedicalNo
4207Y00000XOtolaryngologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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