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MAINE MEDICAL PARTNERS NPI 1992719272


NPI Information

NPI: 1992719272
Provider Name: MAINE MEDICAL PARTNERS

Doing Business As: MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

CLIA Number: 20D0951607

Address:
887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Get Directions

MAINE MEDICAL PARTNERS is a pediatric gastroenterology pediatrics in Portland, ME. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. MAINE MEDICAL PARTNERS NPI is 1992719272. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maine Medical Partners Pediatric Specialty Care.

The provider's business location address is:

887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102-100
Phone: (207) 662-5522

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 20D0951607 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/29/2006 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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3133V00000XDietitian, RegisteredNo
4170300000XGenetic Counselor, MSMAINENo
52080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
62080P0205XPediatricsPediatric EndocrinologyNo
72080P0208XPediatricsPediatric Infectious DiseasesNo
82080P0210XPediatricsPediatric NephrologyNo
92080P0214XPediatricsPediatric PulmonologyNo
10363LF0000XNurse PractitionerFamilyNo
11363LP0200XNurse PractitionerPediatricsNo
122080P0206XPediatricsPediatric GastroenterologyYes

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
1119910028MEDICAIDMAINE
2119910018MEDICAIDMAINE
3119910027MEDICAIDMAINE
430006478MEDICAIDNEW HAMPSHIRE
530216371MEDICAIDNEW HAMPSHIRE
6119910001MEDICAIDMAINE
7119910019MEDICAIDMAINE

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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