SOUTHERN MAINE FOOT AND ANKLE PA
NPI 1417020041
Podiatrist - Foot & Ankle Surgery in Scarborough, ME

Q: What is Southern Maine Foot And Ankle PA's NPI number?

The NPI number for Southern Maine Foot And Ankle PA is 1417020041. It was assigned to this organization in the NPPES registry on November 15, 2006.

Q: What is Southern Maine Foot And Ankle PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since November 15, 2006

25 PLAZA DR, SUITE 9, SCARBOROUGH, ME 04074(207) 883-0865(207) 883-0913 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Southern Maine Foot And Ankle Pa NPPES

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

SOUTHERN MAINE FOOT AND ANKLE PA (NPI 1417020041) is a healthcare organization registered as a foot & ankle surgery in Scarborough, Maine and active in the NPI registry since November 2006. The organization lists Peter T Ocampo, President, as its authorized official.

NPPES Registry Identity

NPI1417020041

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameSOUTHERN MAINE FOOT AND ANKLE PA

Location Address25 PLAZA DR, SUITE 9Scarborough, ME 04074-6900

Mailing Address25 Plaza Dr, Suite 9Scarborough, ME 04074-6900 · (207) 883-0865 · Fax (207) 883-0913

Phone(207) 883-0865

Fax(207) 883-0913

Organization SubpartNo

Authorized OfficialPeter T OcampoPresident · (207) 883-0865

Enumeration DateNovember 15, 2006

Last NPPES UpdateNovember 15, 2016

✔ NPI 1417020041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in ME · POD1031

25 PLAZA DR, Scarborough, ME 04074

Open in Google Maps ↗

Other Identifiers 1

Medicare NSC5072810001ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PETER TIOSECO OCAMPO DPM

Podiatrist

25 PLAZA DR, STE 9
SCARBOROUGH, ME 04074

Cumberland County (207) 883-0865

SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.

Clinic/Center (Rehabilitation)

25 PLAZA DR
SCARBOROUGH, ME 04074

Cumberland County (207) 289-1010

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 Southern Maine Foot And Ankle PA's NPI number?

The NPI number for Southern Maine Foot And Ankle PA is 1417020041. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Southern Maine Foot And Ankle PA located?

Southern Maine Foot And Ankle PA is located at 25 Plaza Dr Suite 9, Scarborough, ME 04074. The listed phone number is (207) 883-0865.

What is Southern Maine Foot And Ankle PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Southern Maine Foot And Ankle PA was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.