MAINE ARTIFICIAL LIMB & ORTHOTICS (NPI# 1306875208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306875208 |
| Entity Type | Organization |
| Organization Name | MAINE ARTIFICIAL LIMB & ORTHOTICS |
| Practice Address |
959 Brighton Ave Portland ME 04102-1020 |
| Practice Telephone | 2077734963 |
| Mailing Telephone | 2077734963 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-05-21 |
| NPI Deactivation Date | 10/30/2008 |
| NPI Reactivation Date | 2009-05-21 |
| Authorized Official Name | MR. MARC NICHOLAS KARN (C.E.O.) |
| Authorized Official Telephone | 2077734963 |
| Authorized Official Credential | C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 106660000 | 05 |
| Street Address |
959 BRIGHTON AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942455514 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 959 Brighton Ave, Portland, ME 04102-1020 | 2008-11-24 |
| 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 | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477868297 | Joel G Rinta | Prosthetist | 1627 Ne Broadway, Portland, OR 97232-1425 | 2010-08-17 |
| 1356840821 | Kevyn Maxwell Mcghee | Prosthetist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902087679 | Thomas Harrigan | Prosthetist | 647 Us Route 1 Ste 201, York, ME 03909-1651 | 2007-11-21 |
| 1073508412 | Sound Limbs Orthotics, Inc. | Prosthetist | 39 S Lisbon Rd, Lewiston, ME 04240-1404 | 2005-09-13 |
| 1962912931 | Active Mobility, LLC | Prosthetist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2017-10-04 |
| 1861893869 | Beth Morse | Prosthetist | 21 Rogers Rd, Vassalboro, ME 04989-4000 | 2014-09-09 |
| 1568696979 | Yvette Pratt | Prosthetist | 40 North St, Suite 6, Presque Isle, ME 04769-2287 | 2009-05-13 |
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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.