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MAINE MEDICAL PARTNERS NPI 1790976074


NPI Information

NPI: 1790976074
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE MEDICAL PARTNERS GERIATRIC MEDICINE

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
66 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-3157
Get Directions

MAINE MEDICAL PARTNERS is a geriatric medicine family medicine in Portland, ME. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MAINE MEDICAL PARTNERS NPI is 1790976074. 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 Geriatric Medicine.

The provider's business location address is:

66 BRAMHALL ST
PORTLAND, ME
ZIP 04102-344
Phone: (207) 662-3157
Fax: (207) 662-4257

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 enumeration date for this NPI number is 8/5/2007 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
1363A00000XPhysician AssistantNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LF0000XNurse PractitionerFamilyNo
4207QG0300XFamily MedicineGeriatric MedicineYes

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
1119910026MEDICAIDMAINE
230216091MEDICAIDNEW 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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