MAINE MEDICAL PARTNERS (NPI# 1124335591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124335591 |
| Entity Type | Organization |
| Organization Name | MAINE MEDICAL PARTNERS |
| Other Organization Name | MMP ORTHOPEDICS (DIV OF ORTHOPEDIC TRAUMA & FRACTURE CARE) |
| Practice Address |
335 Brighton Ave Suite 200 Portland ME 04102-2363 |
| Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-7609 |
| Practice Telephone | 2076628600 |
| Practice Fax Number | 2076628668 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | STEPHEN J KASABIAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 2073968600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMP Orthopedics (Div of Orthopedic Trauma & Fracture Care) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1366826505 | Maine Medical Partners | Psychologist | 300 Professional Dr, Scarborough, ME 04074-8433 | 2015-07-17 |
| 1346687167 | Maine Medical Partners | Dermatology | 887 Congress St, Suite 400, Portland, ME 04102 | 2013-06-03 |
| 1174897078 | Maine Medical Partners | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2012-02-24 |
| 1891083119 | Maine Medical Partners | Nurse Practitioner | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2011-07-20 |
| 1386937175 | Maine Medical Partners | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2011-05-26 |
| 1881908879 | Maine Medical Partners | Otolaryngology | 1250 Forest Ave, Portland, ME 04103-1889 | 2010-08-02 |
| 1215269626 | Maine Medical Partners | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2010-02-10 |
| 1710215751 | Maine Medical Partners | Urology | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2009-12-03 |
| 1134305386 | Maine Medical Partners | Nurse Practitioner | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2008-01-18 |
| Street Address |
335 BRIGHTON AVE SUITE 200 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515720 | Raymond R White | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2005-08-19 |
| 1619519873 | Maine Medical Consultants PC | Internal Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2019-10-09 |
| 1972085140 | Regina M Bowie | Registered Nurse | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-09-04 |
| 1780170431 | Kayla Marlise Heins | Speech-Language Pathologist | 335 Brighton Ave, Portland, ME 04102-2363 | 2018-07-05 |
| 1700380466 | Katherine A Diconzo | Nurse Practitioner | 335 Brighton Ave, Portland, ME 04102 | 2018-03-19 |
| 1316471105 | Deborah Mcginnis | Occupational Therapist | 335 Brighton Ave, Portland, ME 04102-2363 | 2017-04-18 |
| 1811435100 | Andrew F Scichilone | Physician Assistant | 335 Brighton Ave, Suite 200, Portland, ME 04102-2363 | 2017-02-07 |
| 1134572316 | Physical and Functional Medicine Incorporated | Physical Medicine & Rehabilitation | 335 Brighton Ave, Portland, ME 04102-2363 | 2016-07-22 |
| 1710362421 | Joel P Miller | Physician Assistant | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-07-23 |
| 1447646260 | Zachary Cohn | Student in an Organized Health Care Education/Training Program | 335 Brighton Ave, Portland, ME 04102-2363 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972878296 | Samuel Scheinberg | Orthopaedic Surgery | 1900 Sw River Dr, Unit 1002 North, Portland, OR 97201-8043 | 2012-03-20 |
| 1215963368 | Darin M Friess | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op-31, Oregon Health Sciences University, Dept. of Orthopedics, Portland, OR 97239-3011 | 2006-06-23 |
| 1174515720 | Raymond R White | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2005-08-19 |
| 1255855052 | Rdc, LLC | Orthopaedic Surgery | 501 N Graham St Ste 250, Portland, OR 97227-1651 | 2017-08-02 |
| 1992870471 | Gregory John Thomson | Orthopaedic Surgery | 1040 Nw 22nd Ave, Suite 630, Portland, OR 97210-3057 | 2006-11-21 |
| 1629182399 | Matthew R Camuso | Orthopaedic Surgery | 335 Brighton Ave, Suite 200, Portland, ME 04103-2362 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580754 | Nicholas John Liska | Orthopaedic Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401 | 2020-02-14 |
| 1306060272 | George N Partal | Orthopaedic Surgery | 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 | 2007-04-12 |
| 1417988015 | Rajendra Tripathi | Orthopaedic Surgery | 417 State Street Webber West Suite 340, Bangor, ME 04401 | 2006-07-05 |
| 1467482943 | David Carmack | Orthopaedic Surgery | 417 State St, Suite 340 Webber West, Bangor, ME 04401-6630 | 2006-07-03 |
| 1033146972 | Richard Bower | Orthopaedic Surgery | 417 State Street, Webber West Suite 340, Bangor, ME 04401 | 2006-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.