MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY – NPI #1841596517
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY is a provider located in SCARBOROUGH, ME. NPPES has assigned the NPI number 1841596517 to MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY on January 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY” is a dba name, the actual legal business name for this organization is MAINEHEALTH. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 6 years ago on May 11, 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 CANCER RISK & PREVENTION - ADULT ONCOLOGY below.

NPI Profile for
MAINEHEALTH

NPI Number
1841596517
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): MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY
Primary location
100 CAMPUS DR
SUITE 110
SCARBOROUGH, ME 04074
Phone: (207) 396-7678 Fax: (207) 396-8766
Mailing address
301 US ROUTE 1
BUILDING C
SCARBOROUGH, ME 04074-7609
Phone: (207) 396-8600 Fax: (207) 396-8632
Organization Subpart
No
Authorized Official
LUGENE INZANA
ASSOCIATE CFO
Phone: (207) 662-3538
Updated
Certification Date
May 11, 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.

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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

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.