MAINE MEDICAL PARTNERS PEDIATRIC SURGERY (MAINE MEDICAL PARTNERS) NPI 1134305386

Surgery (Pediatric Surgery) in Portland, ME

NPI 1134305386 Organization Surgery Pediatric Surgery

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 NameMAINE MEDICAL PARTNERS PEDIATRIC SURGERY (MAINE MEDICAL PARTNERS)
Provider Location Address887 CONGRESS ST SUITE 300 PORTLAND, ME 04102
Provider Mailing Address300 SOUTHBOROUGH DR SUITE 201 SOUTH PORTLAND, ME 04106
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMAINE MEDICAL PARTNERS PEDIATRIC SURGERY
Other Name TypeDoing Business As (3)
Enumeration Date01-18-2008
Last Update Date05-02-2016


Primary Taxonomy

Taxonomy Code2086S0120X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Surgery
Taxonomy DescriptionA 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

Get Directions


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



Authorized Official

Authorized Official Name STEPHEN J KASABIAN
Authorized Official TitlePRESIDENT
Authorized Official Phone(207) 661-2000

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
1163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantMENo

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.

2363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsNo

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
30216371MEDICAID (05)NH
119910027MEDICAID (05)ME
MM5357MEDICARE PIN (08)ME
MM5228MEDICARE 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
1548264054DR. 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
1700874104DR. GEORGES S ABOURJAILY MD
Individual
Surgery887 CONGRESS ST SUITE 400
PORTLAND, ME 04102
(207) 774-6368
1275524928MS. RENEE L. CHARD MSC; CGC
Individual
Genetic Counselor, MS887 CONGRESS ST SUITE 200
PORTLAND, ME 04102
(207) 771-5549
1487630265THE MAINE SURGICAL CARE GROUP
Organization
Surgery887 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, MS887 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
1093781254DR. 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
Pediatrics887 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
1003846361DR. THOMAS MELLOW M.D.
Individual
Pediatrics (Pediatric Pulmonology)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1952332744MS. SARA A ELLINGWOOD M.S.
Individual
Genetic Counselor, MS887 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
1356375950DR. CAROL MCCARTHY M.D
Individual
Pediatrics (Pediatric Infectious Diseases)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1790718716DR. 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.