MAINEHEALTH (NPI# 1063726891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063726891 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MAINE MEDICAL PARTNERS WOMEN'S HEALTH MFM DIVISION |
| Practice Address |
887 Congress St Suite 200 Portland ME 04102 |
| Mailing Address |
22 Bramhall St Portland ME 04102-3134 |
| Practice Telephone | 2077715549 |
| Practice Fax Number | 2077717834 |
| Mailing Telephone | 2076626562 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE/CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 37563 | ME | Hospitals |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners Women's Health MFM Division | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
| 1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
| Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
| Street Address |
887 CONGRESS ST SUITE 200 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
| 1245886209 | Melisa Suzanne Sprague | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2019-08-15 |
| 1821503939 | Allison Layton | Social Worker | 887 Congress St, Portland, ME 04102-3100 | 2017-12-12 |
| 1104349133 | Laura Ann Lebourdais | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2017-07-21 |
| 1518342526 | Mainehealth | General Acute Care Hospital | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1093100646 | Douglas D. Campbell | Anesthesiology | 887 Congress St, Portland, ME 04102-3100 | 2015-03-31 |
| 1508260530 | Emily Sweeney | Nurse Practitioner | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-10-20 |
| 1639580947 | Valerie Carpenter | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2014-05-08 |
| 1932521085 | Jaime Eller | Social Worker | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215174651 | Manijeh Kamyar | Obstetrics & Gynecology | 5050 Ne Hoyt St Ste 230, Portland, OR 97213-2981 | 2009-01-07 |
| 1215182035 | Jamie O Lo | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # L466, Department of Obstetrics and Gynecology - Office Sjh 23, Portland, OR 97239-3011 | 2008-11-20 |
| 1679695050 | Barbra M Fisher | Obstetrics & Gynecology | 9701 Sw Barnes Rd Ste 299, Portland, OR 97225-6689 | 2007-04-04 |
| 1033291323 | Sig-linda Jacobson | Obstetrics & Gynecology | 5006 Sw Martha St, Portland, OR 97221-1835 | 2006-10-19 |
| 1538458377 | Alexandria Mickenzie Betz | Obstetrics & Gynecology | 887 Congress St Ste 200, Portland, ME 04102-3166 | 2011-04-01 |
| 1457581688 | Karen Gibbins | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2009-07-22 |
| 1164664389 | Jennifer Salati | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, Ohsu, Mail Code L458, Portland, OR 97239-3011 | 2009-04-02 |
| 1952562753 | Ashlie Ann Roselle Tronnes | Obstetrics & Gynecology | 9701 Sw Barnes Rd, Suite 299, Portland, OR 97225-6772 | 2008-06-24 |
| 1407023989 | Michael Patrick Smrtka | Obstetrics & Gynecology | 5050 Ne Hoyt St, Suite 230, Portland, OR 97213-2991 | 2008-05-13 |
| 1609062728 | Nicole Marshall | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, L458, Portland, OR 97239-3011 | 2007-09-21 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.