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MAINEHEALTH
NPI 1073702288
Oral & Maxillofacial Surgery in Portland, ME

Active since October 24, 2007
22 BRAMHALL ST, PORTLAND, ME 04102(207) 871-4078 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2025, May 11, 2020 (2 updates tracked since 2020).

About Mainehealth NPPES

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

MAINEHEALTH (NPI 1073702288), doing business as Mmc Oral Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Portland, Maine and active in the NPI registry since October 2007. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1073702288
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMAINEHEALTH
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 871-4078
Organization SubpartNo
Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538
Enumeration DateOctober 24, 2007
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1073702288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
22 BRAMHALL ST, Portland, ME 04102
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Other Names 1

Doing Business AsMmc Oral Surgery

Other Identifiers 1

Medicaid119910022ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mainehealth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Mainehealth, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nephrology10
Geriatric Medicine7
Cardiovascular Disease (Cardiology)6
General Surgery4
Internal Medicine3
Pediatric Medicine3
Nurse Practitioner2
Obstetrics/Gynecology2
9 other specialties9

Nearest to this location (20)

See all 46
Julia Brock, M.D.
Obstetrics/Gynecology
NPI 1285688937
22 BRAMHALL ST
Portland, ME 04102
(207) 662-2749
✔ PECOSSame address
Michael Ferguson, M.D.
Pediatric Medicine
NPI 1013181668
22 BRAMHALL ST MMC PICU
Portland, ME 04102
(207) 662-6711
✔ PECOS✔ Accepts MedicareSame address
Bram Geller, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275828311
22 BRAMHALL ST
Portland, ME 04102
(207) 885-9905
✔ PECOS✔ Accepts MedicareSame address
Mark Parker, M.D.
Nephrology
NPI 1770583346
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts MedicareSame address
Dena Whitesell, MD
Psychiatry
NPI 1659449320
22 BRAMHALL ST DEPT OF PSYCHIATRY, UNIT P6
Portland, ME 04102
(207) 662-4463
✔ PECOS✔ Accepts MedicareSame address
Heidi Wierman, MD
Geriatric Medicine
NPI 1699868158
22 BRAMHALL ST.
Portland, ME 04102
(207) 662-2875
✔ PECOS✔ Accepts MedicareSame address
Michael Zubrow, M.D.
Pediatric Medicine
NPI 1699066647
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOSSame address
Samantha Wood, MD
Emergency Medicine
NPI 1568598779
22 BRAMHALL ST
Portland, ME 04102
(207) 662-7046
✔ PECOS✔ Accepts MedicareSame address
Rachael Blake, MD
Geriatric Medicine
NPI 1831357839
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Ann Magner, DO
Geriatric Medicine
NPI 1205060225
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Morrione, MD
Geriatric Medicine
NPI 1841367943
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Julia Redding, DO
Geriatric Medicine
NPI 1932367034
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Emily Carter, M.D.
Geriatric Medicine
NPI 1790122927
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Hallen, M.D.
Internal Medicine
NPI 1033221817
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
James Whiting, MD
General Surgery
NPI 1205812070
887 CONGRESS ST SUITE 400
Portland, ME 04102
(207) 774-6368
✔ PECOS0.2 mi
Juan Palma Vargas, MD
General Surgery
NPI 1528072675
887 CONGRESS ST SUITE 400
Portland, ME 04102
(207) 774-6368
✔ PECOS✔ Accepts Medicare0.2 mi
Deborah Hoch, DNP/ACND-BC
Nurse Practitioner
NPI 1154449759
19 WEST ST
Portland, ME 04102
(207) 842-7180
✔ PECOS✔ Accepts Medicare0.3 mi
David Polisner, MD
Internal Medicine
NPI 1013080852
144 STATE ST
Portland, ME 04101
(207) 879-3000
✔ PECOS✔ Accepts Medicare0.5 mi
John Devlin, MD
Endocrinology
NPI 1770686800
144 STATE ST 4TH FLOOR
Portland, ME 04101
(207) 400-8500
✔ PECOS0.5 mi
Robert Fraser, DO
Internal Medicine
NPI 1134206352
84 MARGINAL WAY SUITE 800
Portland, ME 04101
(207) 774-5816
✔ PECOS0.9 mi
See all 46 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1073702288. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as MMC Oral Surgery.

Where is Mainehealth located?

Mainehealth is located at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 871-4078.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mainehealth enrolled in Medicare?

Yes. Mainehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mainehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 17 Medicare specialties reassign their Medicare billing to Mainehealth. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (10), Geriatric Medicine (7) and Cardiovascular Disease (Cardiology) (6). Of these, 8 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.