MMC FAMILY PRACTICE RESIDENCY PROGRAM – NPI #1225232606
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MMC FAMILY PRACTICE RESIDENCY PROGRAM is a provider located in PORTLAND, ME. NPPES has assigned the NPI number 1225232606 to MMC FAMILY PRACTICE RESIDENCY PROGRAM on June 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MMC FAMILY PRACTICE RESIDENCY PROGRAM” is a dba name, the actual legal business name for this organization is MAINEHEALTH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MMC FAMILY PRACTICE RESIDENCY PROGRAM below.

NPI Profile for
MAINEHEALTH

NPI Number
1225232606
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAINEHEALTH
Doing Business As (dba): MMC FAMILY PRACTICE RESIDENCY PROGRAM
Primary location
272 CONGRESS ST
PORTLAND, ME 04102
Phone: (207) 874-2466 Fax: (207) 774-4625
Mailing address
301C US ROUTE 1
SCARBOROUGH, ME 04074-9701
Phone: (207) 396-8600 Fax: (207) 396-8632
Organization Subpart
No
Authorized Official
LUGENE INZANA
SVP FINANCE/CFO
Phone: (207) 662-3538
Updated
Certification Date
Apr 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MMC FAMILY PRACTICE RESIDENCY PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNH30216370
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LW0102X
- Nurse Practitioner / Women's Health
363LF0000X
- Nurse Practitioner / Family
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.