MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE - NPI 1992719272

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

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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 1992719272) is a healthcare organization registered as a pediatric gastroenterology in Portland, Maine and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 22, 2026 and lists Stephen J Kasabian, President, as its authorized official.

NPPES Registry Identity

NPI1992719272

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameMAINE MEDICAL PARTNERS

Location Address887 CONGRESS ST, SUITE 320Portland, ME 04102-3100

Mailing Address300 Southborough Dr, Suite 201South Portland, ME 04106-6914 · (207) 661-2000 · Fax (207) 661-2033

Phone(207) 662-5522

Organization SubpartNo

Authorized OfficialStephen J KasabianPresident · (207) 661-2000

Enumeration DateJuly 29, 2006

Last NPPES UpdateDecember 13, 2022

NPPES CertifiedDecember 13, 2022

✔ NPI 1992719272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedGenetic Counselor, MSTaxonomy 170300000X

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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

887 CONGRESS ST, Portland, ME 04102

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Other Names 1

Doing Business AsMaine Medical Partners Pediatric Specialty Care

Other Identifiers 7

Medicaid119910028ME

Medicaid119910018ME

Medicaid119910027ME

Medicaid30006478NH

Medicaid30216371NH

Medicaid119910001ME

Medicaid119910019ME

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 Ambetter from NH Healthy Families, 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 DirectorMichael Dedekian

Laboratory Phone(207) 662-5522

Laboratory LocationMainehealth Pediatric Specialty Care Portland & Oakland887 Congress Street Suite 300, Portland, ME 04102

CLIA data matches this NPI record on: Address 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.