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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
887 CONGRESS ST SUITE 300 |
City | PORTLAND |
State | ME |
Zip Code | 04102-3100 |
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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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 | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
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. |
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 |
Find all providers in PORTLAND |
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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.