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MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE
NPI 1477850592
Internal Medicine - Gastroenterology in Portland, ME

Active since February 25, 2011CLIA 20D0951607 · Microscopy
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102(207) 662-5522(207) 662-5526 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, May 11, 2020, Jul 10, 2018 (3 updates tracked since 2018).

About Maine Medical Partners Pediatric Specialty Care NPPES

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

MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE (NPI 1477850592) is a healthcare organization registered as a gastroenterology in Portland, Maine and active in the NPI registry since February 2011. The organization holds a CLIA Microscopy certificate valid through September 22, 2026 and lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1477850592
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMAINEHEALTH
Location Address887 CONGRESS ST, SUITE 320Portland, ME 04102
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562
Phone(207) 662-5522
Fax(207) 662-5526
Organization SubpartYes
Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538
Enumeration DateFebruary 25, 2011
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1477850592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedGenetic Counselor, MSTaxonomy 170300000X
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 37563 (ME)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
887 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Names 1

Doing Business AsMaine Medical Partners Pediatric Specialty Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0951607

Mainehealth Pediatric Specialty Care Portland & Oakland · Portland, ME
Active · expires Sep 22, 2026
CLIA Number20D0951607
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorColby Wyatt
Laboratory Phone(207) 662-5522
Laboratory LocationMainehealth Pediatric Specialty Care Portland & Oakland887 Congress St Suite 300, Portland, ME 04102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. NICOLE L. MIZNER C.P.N.P.
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Cumberland County (207) 773-2723
KENNETH LOMBARD M.D.
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Cumberland County (207) 662-5522
JANICE M STILKEY PNP
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
LESLIE S WU MD
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
ANNE C COATES M.D.
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Cumberland County (207) 662-5522
MARIE H TANZER MD
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
MAINEHEALTH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Cumberland County (207) 771-5549
DR. COLBY A WYATT MD PHD
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522

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 Mainehealth's NPI number?

The NPI number for Mainehealth is 1477850592. It was assigned to this organization in the NPPES registry on February 25, 2011. The provider is doing business as Maine Medical Partners Pediatric Specialty Care.

Where is Mainehealth located?

Mainehealth is located at 887 Congress St Suite 320, Portland, ME 04102. The listed phone number is (207) 662-5522.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Mainehealth hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0951607) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainehealth accept?

Health plans from Anthem Blue Cross and Blue Shield list Mainehealth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.