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MAINE MEDICAL PARTNERS NPI 1710215751


NPI Information

NPI: 1710215751
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE MEDICAL PARTNERS UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 20D0088565

Address:
100 BRICKHILL AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 773-1728
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MAINE MEDICAL PARTNERS is an urology in South Portland, ME. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MAINE MEDICAL PARTNERS NPI is 1710215751. 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 Urology.

The provider's business location address is:

100 BRICKHILL AVE
SOUTH PORTLAND, ME
ZIP 04106-999
Phone: (207) 773-1728
Fax: (207) 772-4062

The provider's authorized official is Stephen J Kasabian .
The authorized official title is President and has the following contact phone number (207) 661-2000.

The CLIA number assigned to this NPI record is 20D0088565 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/3/2009 and was last updated on 12/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric UrologyNo
2363AM0700XPhysician AssistantMedicalNo
3363LF0000XNurse PractitionerFamilyNo
4208800000XUrologyYes

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
1119910029MEDICAIDMAINE
230217105MEDICAIDNEW HAMPSHIRE

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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