MAINE MEDICAL PARTNERS NEUROLOGY – NPI #1215269626
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

MAINE MEDICAL PARTNERS NEUROLOGY is a psychiatry & neurologist located in SCARBOROUGH, ME. NPPES has assigned the NPI number 1215269626 to MAINE MEDICAL PARTNERS NEUROLOGY on February 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAINE MEDICAL PARTNERS NEUROLOGY” is a dba name, the actual legal business name for this organization is MAINE MEDICAL PARTNERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Dec 13, 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 NEUROLOGY below.

NPI Profile for
MAINE MEDICAL PARTNERS

NPI Number
1215269626
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
MAINE MEDICAL PARTNERS
Doing Business As (dba): MAINE MEDICAL PARTNERS NEUROLOGY
Primary location
92 CAMPUS DRIVE
2ND FLOOR
SCARBOROUGH, ME 04074
Phone: (207) 883-1414 Fax: (207) 883-1010
Mailing address
300 SOUTHBOROUGH DR
SUITE 201
SOUTH PORTLAND, ME 04106-6914
Phone: (207) 661-2000 Fax: (207) 661-2033
Organization Subpart
No
Authorized Official
DONNA JAUREGUI
DIR-PRVDR ENROLLMENT & CVO, MHMG PA
Phone: (207) 661-5414
Updated
Certification Date
Dec 13, 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.

Identifiers

Identifiers for MAINE MEDICAL PARTNERS NEUROLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNH30218004
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.

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