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

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: July 19, 2026.

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About SOUTHERN MAINE FOOT AND ANKLE PA

This page provides the complete NPI Profile along with additional information for Southern Maine Foot And Ankle Pa, a provider established in Scarborough, Maine operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1417020041 assigned on November 2006. The practitioner's primary taxonomy code is 213ES0103X with license number POD1031 (ME). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Peter T Ocampo Dpm (President)

NPI
1417020041 Verify this NPI
Provider Name
SOUTHERN MAINE FOOT AND ANKLE PA
Entity Type
Organization
Location Address
25 PLAZA DR SUITE 9 SCARBOROUGH, ME 04074
Location Phone
(207) 883-0865
Location Fax
(207) 883-0913
Mailing Address
25 PLAZA DR SUITE 9 SCARBOROUGH, ME 04074
Mailing Phone
(207) 883-0865
Mailing Fax
(207) 883-0913
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2006
Last Update Date
11-15-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
POD1031
License State
ME

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PETER T OCAMPO DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(207) 883-0865

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5072810001MEDICARE NSC (07)ME 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist
25 PLAZA DR, STE 9
SCARBOROUGH, ME 04074
Clinic/Center (Rehabilitation)
25 PLAZA DR
SCARBOROUGH, ME 04074

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417020041, enumerated as an "organization" on November 15, 2006.

The provider is located at 25 PLAZA DR SUITE 9 SCARBOROUGH, ME 04074 and the phone number is (207) 883-0865.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.