MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE
NPI 1477850592
Internal Medicine - Gastroenterology in Portland, ME
NPI Status: Active since February 25, 2011
Contact Information
887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Fax: (207) 662-5526
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 20D0951607
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-22-2026
About MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE
This page provides the complete NPI Profile along with additional information for Maine Medical Partners Pediatric Specialty Care, an internist established in Portland, Maine operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1477850592 assigned on February 2011. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Maine Medical Partners Pediatric Specialty Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Maine Medical Partners Pediatric Specialty Care. The authorized official of this NPI record is Lugene Anthony Inzana (Associate Cfo)
- NPI
- 1477850592
- Provider Legal Name
- MAINEHEALTH
- Other Organization Name
- MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102
- Location Phone
- (207) 662-5522
- Location Fax
- (207) 662-5526
- Mailing Address
- 22 BRAMHALL ST PORTLAND, ME 04102
- Mailing Phone
- (207) 662-6562
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-25-2011
- Last Update Date
- 12-19-2022
- Code Navigator
An internist like Maine Medical Partners Pediatric Specialty Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 3 | 170300000X | Other Service Providers | Genetic Counselor, MS | |
| 4 | 207SG0201X | Allopathic & Osteopathic Physicians | Medical Genetics | |
| 5 | 2080P0006X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 2080P0205X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 7 | 2080P0208X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 8 | 2080P0210X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 9 | 2080P0214X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 10 | 282N00000X | Hospitals | General Acute Care Hospital | 37563 (ME) |
| 11 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 12 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D0951607
- Facility Type
- Physician Office
- Certificate Effective Date
- September 23, 2024
- Certificate Expiration Date
- September 22, 2026
- Laboratory Director
- COLBY WYATT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Maine Medical Partners Pediatric Specialty Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477850592, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477850592, enumerated as an "organization" on February 25, 2011.
The provider is located at 887 CONGRESS ST SUITE 320 PORTLAND, ME 04102 and the phone number is (207) 662-5522.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
