SOUTHERN MAINE GASTROENTEROLOGY, LLC
NPI 1487712733
Colon & Rectal Surgery in Kennebunk, ME
NPI Status: Active since December 05, 2006
Contact Information
10 STORER ST UNIT 106
LAFAYETTE CENTER
KENNEBUNK, ME
ZIP 04043
Phone: (207) 467-9156
Fax: (207) 467-9157
- Organization
- Colon & Rectal Surgery
- CLIA Number: 20D2256025
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-20-2026
About SOUTHERN MAINE GASTROENTEROLOGY, LLC
This page provides the complete NPI Profile along with additional information for Southern Maine Gastroenterology, Llc, a provider established in Kennebunk, Maine operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1487712733 assigned on December 2006. The practitioner's primary taxonomy code is 208C00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Southern Maine Gastroenterology, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John Thompson Do (Co Owner And Provider)
- NPI
- 1487712733
- Provider Name
- SOUTHERN MAINE GASTROENTEROLOGY, LLC
- Entity Type
- Organization
- Location Address
- 10 STORER ST UNIT 106 LAFAYETTE CENTER KENNEBUNK, ME 04043
- Location Phone
- (207) 467-9156
- Location Fax
- (207) 467-9157
- Mailing Address
- PMB 2700 4 SCAMMAN ST, SUITE 19 SACO, ME 04072
- Mailing Phone
- (207) 282-4704
- Mailing Fax
- (207) 467-9157
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2006
- Last Update Date
- 09-11-2025
- 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
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine |
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.
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
- 20D2256025
- Facility Type
- Physician Office
- Certificate Effective Date
- March 21, 2024
- Certificate Expiration Date
- March 20, 2026
- Laboratory Director
- LAURA HOUK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southern Maine Gastroenterology, Llc 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 1487712733, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487712733, enumerated as an "organization" on December 05, 2006.
The provider is located at 10 STORER ST UNIT 106 LAFAYETTE CENTER KENNEBUNK, ME 04043 and the phone number is (207) 467-9156.
Colon & Rectal Surgery with taxonomy code 208C00000X.
