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PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER NPI 1700881638


NPI Information

NPI: 1700881638
Provider Name: PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
254 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 774-3338
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PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER is a foot and ankle surgery orthopaedic surgery in South Portland, ME. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER NPI is 1700881638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

254 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106-410
Phone: (207) 774-3338
Fax: (207) 775-2307

The provider's authorized official is Gregory C Pomeroy .
The authorized official title is Orthopaedic Surgeon and has the following contact phone number (207) 774-3338.

The enumeration date for this NPI number is 6/16/2005 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

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: 4/28/2024

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