MMC GENERAL OB – NPI #1699004184
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MMC GENERAL OB is a provider located in PORTLAND, ME. NPPES has assigned the NPI number 1699004184 to MMC GENERAL OB on December 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MMC GENERAL OB” is a dba name, the actual legal business name for this organization is MAINEHEALTH. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

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 GENERAL OB below.

NPI Profile for
MAINEHEALTH

NPI Number
1699004184
Enumeration Date

(more than 16 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 GENERAL OB
Primary location
22 BRAMHALL ST
PORTLAND, ME 04102
Phone: (207) 662-2749 Fax:
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
207V00000X
- Obstetrics & Gynecology (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.