MAINE MEDICAL PARTNERS OTOLARYNGOLOGY – NPI #1649577768
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

MAINE MEDICAL PARTNERS OTOLARYNGOLOGY is an otolaryngologist located in PORTLAND, ME. NPPES has assigned the NPI number 1649577768 to MAINE MEDICAL PARTNERS OTOLARYNGOLOGY 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 OTOLARYNGOLOGY” 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 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

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 OTOLARYNGOLOGY below.

NPI Profile for
MAINEHEALTH

NPI Number
1649577768
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 OTOLARYNGOLOGY
Primary location
1250 FOREST AVE
PORTLAND, ME 04103
Phone: (207) 797-5753 Fax: (207) 797-9571
Mailing address
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone: (207) 662-6562 Fax:
Organization Subpart
Yes - MAINE MEDICAL PARTNERS OTOLARYNGOLOGY 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
207Y00000X
- Otolaryngology (Primary)
363AM0700X
- Physician Assistant / Medical
282N00000X
- General Acute Care Hospital
ME 37563
231H00000X
- Audiologist

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