MAINE PEDIATRIC SURGICAL ASSOCIATES


Address: 887 Congress St, Suite 300, Portland, ME 04102-3100
Phone: 2076625555

MAINE PEDIATRIC SURGICAL ASSOCIATES (NPI# 1619197423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619197423
Entity Type Organization
Organization Name MAINE PEDIATRIC SURGICAL ASSOCIATES
Practice Address 887 Congress St
Suite 300
Portland
ME 04102-3100
Practice Telephone 2076625555
Practice Fax Number 2076625065
Mailing Telephone 2076625555
Mailing Fax Number 2076625065
Enumeration Date 2007-04-26
Last Update Date 2020-08-22
Authorized Official Name MRS. ANNA M TEMPLE (PRACTICE MANAGER)
Authorized Official Telephone 2076625866
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 887 CONGRESS ST
SUITE 300
City PORTLAND
State ME
Zip Code 04102-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548264054 Michael Robert Curci Surgery 887 Congress St, Ste 410a, Portland, ME 04102-3103 2005-06-13
1245886209 Melisa Suzanne Sprague Physician Assistant 887 Congress St, Portland, ME 04102-3100 2019-08-15
1821503939 Allison Layton Social Worker 887 Congress St, Portland, ME 04102-3100 2017-12-12
1104349133 Laura Ann Lebourdais Physician Assistant 887 Congress St, Portland, ME 04102-3100 2017-07-21
1518342526 Mainehealth General Acute Care Hospital 887 Congress St, Portland, ME 04102-3100 2015-07-21
1790160703 Maine Medical Partners Surgery 887 Congress St, Portland, ME 04102-3100 2015-07-21
1093100646 Douglas D. Campbell Anesthesiology 887 Congress St, Portland, ME 04102-3100 2015-03-31
1508260530 Emily Sweeney Nurse Practitioner 887 Congress St, Suite 300, Portland, ME 04102-3100 2014-10-20
1639580947 Valerie Carpenter Physician Assistant 887 Congress St, Portland, ME 04102-3100 2014-05-08
1932521085 Jaime Eller Social Worker 887 Congress St, Suite 300, Portland, ME 04102-3100 2014-01-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740470681 John Richard Campbell Surgery 745 Sw Gaines St, Cdw-7, Portland, OR 97239-2901 2007-07-26
1801801394 Mark Lawrence Silen Surgery 2552 Nw Mildred St, Portland, OR 97210-3337 2006-07-31
1548264054 Michael Robert Curci Surgery 887 Congress St, Ste 410a, Portland, ME 04102-3103 2005-06-13
1265631352 Kartikey A Pandya Surgery 887 Congress St, Suite 300, Portland, ME 04102-3100 2007-07-17
1245433184 Mubeen Jafri Surgery 501 N Graham St, Suite 300, Portland, OR 97227-1654 2007-06-07
1720297849 Jeffrey M. Halter Surgery 887 Congress St, Suite 300, Portland, ME 04102 2007-05-22
1659497709 Elizabeth Anderson Fialkowski Surgery 3181 Sw Sam Jackson Park Rd, Cdw7, Portland, OR 97239-3011 2007-03-21
1659451086 Providence Health & Services - Oregon Surgery 1321 Ne 99th Ave, Suite 200, Portland, OR 97220-9436 2006-10-17
1447330410 Ian R Neilson Surgery 887 Congress St, Suite 300, Portland, ME 04102-3100 2006-10-16
1043300502 Cynthia Ann Gingalewski Surgery 501 N Graham St, Mob 2 Suite 300, Portland, OR 97227-1654 2006-10-13
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Competitor

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City PORTLAND
Zip Code 04102

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Dataset Information

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.

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