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MAINEHEALTH NPI 1710297494


NPI Information

NPI: 1710297494
Provider Name: MAINEHEALTH

Doing Business As: MAINE MEDICAL PARTNERS UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 20D2106546

Address:
100 BRICKHILL AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 773-1728
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MAINEHEALTH 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. MAINEHEALTH NPI is 1710297494. The provider is registered as an organization entity type.
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
Phone: (207) 773-1728
Fax: (207) 772-4062

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 CLIA number assigned to this NPI record is 20D2106546 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2010 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital37563MAINENo
2363A00000XPhysician AssistantNo
3363LF0000XNurse PractitionerFamilyNo
4208800000XUrologyYes

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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