SOUTHERN MAINE FOOT AND ANKLE PA
NPI 1417020041
Podiatrist - Foot & Ankle Surgery in Scarborough, ME
- 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
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 5072810001 | MEDICARE 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.
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.