MMP ORTHOPEDICS ( DIV OF ORTHOPEDIC TRAUMA & FRACTURE CARE)
NPI 1003113127
Orthopaedic Surgery - Orthopaedic Trauma in Portland, ME

Q: What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1003113127. It was assigned to this organization in the NPPES registry on February 25, 2011. The provider is doing business as Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care).

Q: What is Mainehealth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2011CLIA Certified · 8 labs

335 BRIGHTON AVE, SUITE 200, PORTLAND, ME 04102(207) 662-8600(207) 662-8668 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMP ORTHOPEDICS ( DIV OF ORTHOPEDIC TRAUMA & FRACTURE CARE) (NPI 1003113127) is a healthcare organization registered as an orthopaedic trauma in Portland, Maine and active in the NPI registry since February 2011. The organization holds 8 active CLIA laboratory certificates and lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1003113127

Entity TypeOrganization

Primary Taxonomy207XX0801X

Legal Business NameMAINEHEALTH

Location Address335 BRIGHTON AVE, SUITE 200Portland, ME 04102-2363

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562

Phone(207) 662-8600

Fax(207) 662-8668

Organization SubpartYes

Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538

Enumeration DateFebruary 25, 2011

Last NPPES UpdateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1003113127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 37563 (ME)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

335 BRIGHTON AVE, Portland, ME 04102

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Other Names 1

Doing Business AsMmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care)

CLIA Laboratory Certificates CMS CLIA 9

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2095103

Mainehealth Primary Care Internal And Pediatrics Portland · Portland, ME

Active · expires Jun 20, 2027

CLIA Number20D2095103

Laboratory TypePhysician Office

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorStephen Digiovanni

Laboratory Phone(207) 662-2911

Laboratory LocationMainehealth Primary Care Internal And Pediatrics Portland22 Bramhall Street, Portland, ME 04102

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 20D1007732

Mainehealth Maine Medical Center Portland · Portland, ME

Active · expires Apr 9, 2027

CLIA Number20D1007732

Laboratory TypeHospital

Certificate Effective DateApril 10, 2025

Certificate Expiration DateApril 9, 2027

Laboratory DirectorDr. Tarek Hammour

Laboratory Phone(207) 662-4014

Laboratory LocationMainehealth Maine Medical Center Portland22 Bramhall Street, Portland, ME 04102

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 20D1007730

Maine Health Dba Mmc Outpatient Poc Waived · Portland, ME

Active · expires Dec 29, 2026

CLIA Number20D1007730

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateDecember 30, 2024

Certificate Expiration DateDecember 29, 2026

Laboratory DirectorTarek E. Hammour

Laboratory Phone(207) 662-4997

Laboratory LocationMaine Health Dba Mmc Outpatient Poc Waived335 Brighton Avenue, Portland, ME 04102

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2079587

Mainehealth Dba Mmc Outpatient Psychiatry · Portland, ME

Active · expires Jun 17, 2028

CLIA Number20D2079587

Laboratory TypePhysician Office

Certificate Effective DateJune 18, 2026

Certificate Expiration DateJune 17, 2028

Laboratory DirectorCharles J. Mallo

Laboratory Phone(207) 662-2221

Laboratory LocationMainehealth Dba Mmc Outpatient Psychiatry216 Vaughan Street, Portland, ME 04102

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 20D2279791

Mainehealth Dermatopathology · Portland, ME

Active · expires Feb 5, 2028

CLIA Number20D2279791

Laboratory TypePhysician Office

Certificate Effective DateFebruary 6, 2026

Certificate Expiration DateFebruary 5, 2028

Laboratory DirectorShinya U. Amano

Laboratory Phone(207) 661-0100

Laboratory LocationMainehealth Dermatopathology1601 Congress St Room D117, Portland, ME 04102

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 20D2156219

Mainehealth Dermatology Portland · Portland, ME

Active · expires Jan 23, 2028

CLIA Number20D2156219

Laboratory TypePhysician Office

Certificate Effective DateJanuary 24, 2026

Certificate Expiration DateJanuary 23, 2028

Laboratory DirectorThomas S. Bander

Laboratory Phone(207) 661-0100

Laboratory LocationMainehealth Dermatology Portland1601 Congress St, Portland, ME 04102

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAINE MEDICAL PARTNERS

Orthopaedic Surgery (Orthopaedic Trauma)

335 BRIGHTON AVE, SUITE 200
PORTLAND, ME 04102

Cumberland County (207) 662-8600

DR. FRED FRIDMAN D.O.

Physical Medicine & Rehabilitation