MAINE CHILDREN'S CANCER PROGRAM – NPI #1912204033
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Health Care Provider Taxonomy Code for Pediatrics

MAINE CHILDREN'S CANCER PROGRAM is a provider located in SCARBOROUGH, ME. NPPES has assigned the NPI number 1912204033 to MAINE CHILDREN'S CANCER PROGRAM on February 25, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAINE CHILDREN'S CANCER PROGRAM” 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 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

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 CHILDREN'S CANCER PROGRAM below.

NPI Profile for
MAINEHEALTH

NPI Number
1912204033
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 CHILDREN'S CANCER PROGRAM
Primary location
100 CAMPUS DR
UNIT 107
SCARBOROUGH, ME 04074
Phone: (207) 885-7565 Fax: (207) 885-7577
Mailing address
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone: (207) 662-6562 Fax:
Organization Subpart
Yes - MAINE CHILDREN'S CANCER PROGRAM 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
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
363LF0000X
- Nurse Practitioner / Family
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