SOUTHERN MAINE GASTROENTEROLOGY, LLC – NPI #1609941509
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.

SOUTHERN MAINE GASTROENTEROLOGY, LLC is a provider located in KENNEBUNK, ME. NPPES has assigned the NPI number 1609941509 to SOUTHERN MAINE GASTROENTEROLOGY, LLC on November 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 18 years ago on May 23, 2008. 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 SOUTHERN MAINE GASTROENTEROLOGY, LLC below.

NPI Profile for
SOUTHERN MAINE GASTROENTEROLOGY, LLC

NPI Number
1609941509
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
SOUTHERN MAINE GASTROENTEROLOGY, LLC
Primary location
10 STORER ST
UNIT 106, LAFAYETTE CENTER
KENNEBUNK, ME 04043-6875
Phone: (207) 467-9156 Fax: (207) 467-9157
Mailing address
PMB 2700
4 SCAMMON ST, SUITE 19
SACO, ME 04072
Phone: (207) 282-4704 Fax: (207) 286-3218
Organization Subpart
No
Authorized Official
JOHN THOMPSON
PROVIDER
Phone: (207) 467-9156
Updated
Identifiers

Identifiers for SOUTHERN MAINE GASTROENTEROLOGY, LLC

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
OTHERAETNA1428193
OTHERCIGNAME878196
MEDICAIDME432448100
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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
208C00000X
- Colon & Rectal Surgery

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.