NPI Verification
National Provider Identifier: 1629761978
Mainehealth
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (15)
Family Medicine
Code: 207Q00000X
Internal Medicine
Code: 207R00000X
Internal Medicine, Cardiovascular Disease
Code: 207RC0000X
Neurological Surgery
Code: 207T00000X
Obstetrics & Gynecology
Code: 207V00000X
Orthopaedic Surgery
Code: 207X00000X
Otolaryngology
Code: 207Y00000X
Pediatrics, Pediatric Gastroenterology
Code: 2080P0206X
Pediatrics, Pediatric Hematology-Oncology
Code: 2080P0207X
Surgery
Code: 208600000X
Surgery, Pediatric Surgery
Code: 2086S0120X
Urology
Code: 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Code: 208G00000X
Physical Therapist
Code: 225100000X
Radiologic Technologist, Magnetic Resonance Imaging
Code: 2471M1202X
Practice Address
110 FREE ST
PORTLAND, ME 041013908
Phone: 207-661-7001
NPI Enumeration Date
June 1, 2023
NPI Number
1629761978Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry