MAINE MEDICAL PARTNERS (NPI# 1144245028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144245028 |
| Entity Type | Organization |
| Organization Name | MAINE MEDICAL PARTNERS |
| Other Organization Name | MAINE MEDICAL PARTNERS LAKES REGION PRIMARY CARE |
| Practice Address |
584 Roosevelt Trl Windham ME 04062-4904 |
| Mailing Address |
300 Southborough Dr Suite 201 South Portland ME 04106-6914 |
| Practice Telephone | 2078923233 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | STEPHEN J KASABIAN (PRESIDENT) |
| Authorized Official Telephone | 2076612000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA001141 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30216078 | 05 | |
| ME | 119910010 | 05 |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners Lakes Region Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1366826505 | Maine Medical Partners | Psychologist | 300 Professional Dr, Scarborough, ME 04074-8433 | 2015-07-17 |
| 1346687167 | Maine Medical Partners | Dermatology | 887 Congress St, Suite 400, Portland, ME 04102 | 2013-06-03 |
| 1174897078 | Maine Medical Partners | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2012-02-24 |
| 1891083119 | Maine Medical Partners | Nurse Practitioner | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2011-07-20 |
| 1386937175 | Maine Medical Partners | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2011-05-26 |
| 1124335591 | Maine Medical Partners | Physician Assistant | 335 Brighton Ave, Suite 200, Portland, ME 04102-2363 | 2010-09-08 |
| 1881908879 | Maine Medical Partners | Otolaryngology | 1250 Forest Ave, Portland, ME 04103-1889 | 2010-08-02 |
| 1215269626 | Maine Medical Partners | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2010-02-10 |
| 1710215751 | Maine Medical Partners | Urology | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2009-12-03 |
| Street Address |
584 ROOSEVELT TRL |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316610 | Colin Richard Robinson | Optometrist | 584 Roosevelt Trl, Windham, ME 04062-4904 | 2005-09-12 |
| 1609246834 | Emily Martin | Nurse Practitioner | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2015-09-30 |
| 1073904868 | Robinson Center for Neuro-visual Rehabilitation | Optometrist | 584 Roosevelt Trl, Suite B, Windham, ME 04062-7302 | 2015-02-15 |
| 1275931388 | Nicole Sawyer | Nurse Practitioner | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2014-12-05 |
| 1528408622 | Rachel L Achenbach | Optometrist | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2013-07-03 |
| 1023321593 | Mainehealth | Pediatrics | 584 Roosevelt Trl, Windham, ME 04062 | 2010-07-26 |
| 1710163068 | Select Physical Therapy Holdings Inc | Clinic/Center | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2008-01-17 |
| 1346426020 | Dr. Colin R Robinson, P.a. | Optometrist | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2008-01-13 |
| 1558443010 | Mark J Wasowski | Chiropractor | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2006-10-20 |
| 1154430650 | Wendy Wardwell | Physical Therapist | 584 Roosevelt Trl, Windham, ME 04062-7302 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205077062 | Xenia Wilma Stone | Family Medicine | 22 Oriole Rd, Windham, NH 03087-1614 | 2009-03-09 |
| 1528091592 | Tanya Feke | Family Medicine | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2006-07-10 |
| 1194758045 | Carl J. Schuler | Family Medicine | 744 Roosevelt Trl, Suite 206, Windham, ME 04062-5282 | 2006-07-07 |
| 1609813443 | Stephen B Paulding | Family Medicine | 409 Roosevelt Trl, Windham, ME 04062-4821 | 2006-06-01 |
| 1033198767 | Michael D. Mccarten | Family Medicine | 5 Industrial Dr Unit B, Elliot Family Medicine At Windham, Windham, NH 03087-2021 | 2006-01-11 |
| 1720069164 | Michael Romanowsky | Family Medicine | 63 Range Rd, Windham, NH 03087-2098 | 2005-11-11 |
| 1790329233 | Marie A Hupper | Family Medicine | 17 Mallison Falls Rd, Windham, ME 04062-4135 | 2019-10-28 |
| 1750935375 | Picone Family Medicine, LLC | Family Medicine | 9621 E Center St, Windham, OH 44288-1010 | 2019-07-31 |
| 1164926879 | Cassandra Denise Purington | Family Medicine | 49 Range Rd Ste 104, Windham, NH 03087-2029 | 2018-03-19 |
| 1689037368 | Sheery Ali | Family Medicine | 5 Industrial Dr Unit B, Windham, NH 03087 | 2016-03-31 |
| Find all providers in WINDHAM | ||||
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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.