MAINE MEDICAL PARTNERS UROLOGY
NPI 1710297494
Urology in South Portland, ME

NPI Status: Active since October 15, 2010

Contact Information

100 BRICKHILL AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 773-1728
Fax: (207) 772-4062

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  • Organization
  • Urology
  • Accepts Insurance
  • CLIA Number: 20D0088565
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-29-2027

About MAINE MEDICAL PARTNERS UROLOGY

This page provides the complete NPI Profile along with additional information for Maine Medical Partners Urology, a provider established in South Portland, Maine operating as a Urology. The healthcare provider is registered in the NPI registry with number 1710297494 assigned on October 2010. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Maine Medical Partners Urology. The authorized official of this NPI record is Lugene Anthony Inzana (Associate Cfo)

NPI
1710297494
Provider Legal Name
MAINEHEALTH
Other Organization Name
MAINE MEDICAL PARTNERS UROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 BRICKHILL AVE SOUTH PORTLAND, ME 04106
Location Phone
(207) 773-1728
Location Fax
(207) 772-4062
Mailing Address
22 BRAMHALL ST PORTLAND, ME 04102
Mailing Phone
(207) 662-6562
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-15-2010
Last Update Date
12-19-2022
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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)
1282N00000XHospitals

General Acute Care Hospital

37563 (ME)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
3363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LUGENE ANTHONY INZANA

Authorized Official Title
ASSOCIATE CFO
Authorized Official Phone
(207) 662-3538

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
20D0088565
Facility Type
Physician Office
Certificate Effective Date
September 30, 2025
Certificate Expiration Date
September 29, 2027
Laboratory Director
GRAHAM T. VERLEE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Maine Medical Partners Urology 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.

Reviews for MAINE MEDICAL PARTNERS UROLOGY

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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 1710297494, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 2 → 4 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 4 + 9 + 1 + 4 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710297494.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Advanced Practice Midwife
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Urology
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Clinic/Center (Physical Therapy)
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Urology
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Urology
100 BRICKHILL AVE
SO. PORTLAND, ME 04106
Physician Assistant
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Physical Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Physical Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Community/Behavioral Health
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Community/Behavioral Health
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Pediatrics)
100 BRICKHILL AVE, SUTIE 304
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 BRICKHILL AVE, SUITE 303
SOUTH PORTLAND, ME 04106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710297494, enumerated as an "organization" on October 15, 2010.

The provider is located at 100 BRICKHILL AVE SOUTH PORTLAND, ME 04106 and the phone number is (207) 773-1728.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.