MAINEHEALTH – NPI #1679887400
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MAINEHEALTH is a provider located in SOUTH PORTLAND, ME. NPPES has assigned the NPI number 1679887400 to MAINEHEALTH on August 04, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MAINEHEALTH is also known by the name MAINE MEDICAL PARTNERS WOMEN'S HEALTH UROGYN DIVISION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

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 MAINEHEALTH below.

NPI Profile for
MAINEHEALTH

NPI Number
1679887400
Enumeration Date

(about 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
Other Name: MAINE MEDICAL PARTNERS WOMEN'S HEALTH UROGYN DIVISION
Primary location
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Phone: (207) 775-1255 Fax: (207) 775-1299
Mailing address
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone: (207) 662-6562 Fax:
Organization Subpart
Yes - MAINEHEALTH 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.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
367A00000X
- Advanced Practice Midwife
282N00000X
- General Acute Care Hospital		 ME 37563

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