MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE – NPI #1477850592
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE is a provider located in PORTLAND, ME. NPPES has assigned the NPI number 1477850592 to MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE on February 25, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE” 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 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Dec 19, 2022. 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 MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE below.

NPI Profile for
MAINEHEALTH

NPI Number
1477850592
Enumeration Date

(more than 15 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): MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE
Primary location
887 CONGRESS ST
SUITE 320
PORTLAND, ME 04102
Phone: (207) 662-5522 Fax: (207) 662-5526
Mailing address
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone: (207) 662-6562 Fax:
Organization Subpart
Yes - MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE is subpart of another organization.
Authorized Official
LUGENE INZANA
ASSOCIATE CFO
Phone: (207) 662-3538
Updated
Certification Date
Dec 19, 2022

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.

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.

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669