MMC PEDIATRIC UROLOGY
NPI 1457540486
Urology - Pediatric Urology in Portland, ME

Q: What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1457540486. It was assigned to this organization in the NPPES registry on October 16, 2007. The provider is doing business as Mmc Pediatric Urology.

Q: What is Mainehealth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 16, 2007

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2179 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2020, Jul 10, 2018 (2 updates tracked since 2018).

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About Mmc Pediatric Urology NPPES

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

MMC PEDIATRIC UROLOGY (NPI 1457540486) is a healthcare organization registered as a pediatric urology in Portland, Maine and active in the NPI registry since October 2007. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1457540486

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameMAINEHEALTH

Location Address22 BRAMHALL STPortland, ME 04102

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 662-2179

Organization SubpartNo

Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538

Enumeration DateOctober 16, 2007

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1457540486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

22 BRAMHALL ST, Portland, ME 04102

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Other Names 1

Doing Business AsMmc Pediatric Urology

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 20

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

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)