MAINE MEDICAL PARTNERS PEDIATRIC SURGERY (MAINE MEDICAL PARTNERS) NPI 1134305386
Surgery (Pediatric Surgery) in Portland, ME
About MAINE MEDICAL PARTNERS PEDIATRIC SURGERY (MAINE MEDICAL PARTNERS)
Maine Medical Partners Pediatric Surgery (maine Medical Partners) is a provider established in Portland, Maine specializing in surgery (pediatric surgery) . The NPI number of Maine Medical Partners Pediatric Surgery (maine Medical Partners) is 1134305386 and was assigned on January 2008. The practitioner's primary taxonomy code is 2086S0120X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Maine Medical Partners Pediatric Surgery (maine Medical Partners) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Maine Medical Partners Pediatric Surgery. The authorized official of this NPI record is Stephen J Kasabian (President)
NPI | 1134305386 |
Provider Name | MAINE MEDICAL PARTNERS PEDIATRIC SURGERY (MAINE MEDICAL PARTNERS) |
Provider Location Address | 887 CONGRESS ST SUITE 300 PORTLAND, ME 04102 |
Provider Mailing Address | 300 SOUTHBOROUGH DR SUITE 201 SOUTH PORTLAND, ME 04106 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | No |
Other Organization Name | MAINE MEDICAL PARTNERS PEDIATRIC SURGERY |
Other Name Type | Doing Business As (3) |
Enumeration Date | 01-18-2008 |
Last Update Date | 05-02-2016 |
Primary Taxonomy
Taxonomy Code | 2086S0120X |
Classification | Surgery |
Type | Allopathic & Osteopathic Physicians |
Specialization | Pediatric Surgery |
Taxonomy Description | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Business Address
MAINE MEDICAL PARTNERS PEDIATRIC SURGERY
887 CONGRESS ST
SUITE 300
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5555
Fax: (207) 662-5526
Mailing Address
MAINE MEDICAL PARTNERS PEDIATRIC SURGERY
300 SOUTHBOROUGH DR
SUITE 201
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 661-2000
Fax: (207) 661-2033
Group Taxonomy
193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
---|---|---|---|---|---|---|---|
1 | 163WR0006X | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant | ME | No | |
Taxonomy Description: a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. | |||||||
2 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | No | ||
Taxonomy Description: Not Available |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
30216371 | MEDICAID (05) | NH |
119910027 | MEDICAID (05) | ME |
MM5357 | MEDICARE PIN (08) | ME |
MM5228 | MEDICARE PIN (08) | ME |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1548264054 | DR. MICHAEL ROBERT CURCI M.D. Individual | Surgery (Pediatric Surgery) | 887 CONGRESS ST STE 410A PORTLAND, ME 04102 (207) 772-4444 |
1942204466 | BAIRD MALLORY MD Individual | Surgery (Pediatric Surgery) | 887 CONGRESS ST SUITE 300 PORTLAND, ME 04102 (207) 662-5555 |
1700874104 | DR. GEORGES S ABOURJAILY MD Individual | Surgery | 887 CONGRESS ST SUITE 400 PORTLAND, ME 04102 (207) 774-6368 |
1275524928 | MS. RENEE L. CHARD MSC; CGC Individual | Genetic Counselor, MS | 887 CONGRESS ST SUITE 200 PORTLAND, ME 04102 (207) 771-5549 |
1487630265 | THE MAINE SURGICAL CARE GROUP Organization | Surgery | 887 CONGRESS ST SUITE 400 PORTLAND, ME 04102 (207) 774-6368 |
1447239025 | DAWNE MILLER FNP-C Individual | Nurse Practitioner (Family) | 887 CONGRESS ST SUITE 210 PORTLAND, ME 04102 (207) 774-2544 |
1750360996 | MARY R CARPENTER MS Individual | Genetic Counselor, MS | 887 CONGRESS ST SUITE 200 PORTLAND, ME 04102 (207) 771-5549 |
1932171089 | CHERYL L BLANK DO Individual | Pediatrics (Pediatric Gastroenterology) | 887 CONGRESS ST SUITE 410B PORTLAND, ME 04102 (207) 662-5522 |
1093781254 | DR. MICHAEL A DEDEKIAN MD Individual | Pediatrics (Pediatric Endocrinology) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1952339178 | JOHN D. BANCROFT MD Individual | Pediatrics (Pediatric Gastroenterology) | 887 CONGRESS ST SUITE 410B PORTLAND, ME 04102 (207) 523-3289 |
1477581361 | ANNE MARIE CAIRNS DO Individual | Pediatrics | 887 CONGRESS ST PORTLAND, ME 04102 (207) 662-5522 |
1013946011 | KENNETH LOMBARD M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 887 CONGRESS ST SUITE 410B PORTLAND, ME 04102 (207) 662-5522 |
1003846361 | DR. THOMAS MELLOW M.D. Individual | Pediatrics (Pediatric Pulmonology) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1952332744 | MS. SARA A ELLINGWOOD M.S. Individual | Genetic Counselor, MS | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1790717312 | MARK J INTEGLIA M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 887 CONGRESS ST SUITE 410B PORTLAND, ME 04102 (207) 662-5522 |
1427080332 | ALAN MORRIS M.D. Individual | Pediatrics (Pediatric Endocrinology) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1356375950 | DR. CAROL MCCARTHY M.D Individual | Pediatrics (Pediatric Infectious Diseases) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1790718716 | DR. ALBERT WILLIAM DIBBINS M.D. Individual | Surgery (Pediatric Surgery) | 887 CONGRESS ST SUITE 410A PORTLAND, ME 04102 (207) 772-4444 |
1689682809 | ANNE I FREEDMAN LCSW Individual | Social Worker (Clinical) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
1750493417 | MARY E CORRIGAN PNP Individual | Nurse Practitioner (Pediatrics) | 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 (207) 662-5522 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.