MAINE MEDICAL PARTNERS (NPI# 1447354899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447354899 |
| Entity Type | Organization |
| Organization Name | MAINE MEDICAL PARTNERS |
| Other Organization Name | MAINE MEDICAL PARTNERS ENDOCRINOLOGY & DIABETES CENTER |
| Practice Address |
175 Us Route 1 Scarborough ME 04074-9048 |
| Mailing Address |
300 Southborough Dr Suite 201 South Portland ME 04106-6914 |
| Practice Telephone | 2078857700 |
| Practice Fax Number | 2078857701 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | STEPHEN J KASABIAN (PRESIDENT) |
| Authorized Official Telephone | 2073968600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 119910000 | 05 | |
| NH | 30210612 | 05 |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners Endocrinology & Diabetes Center | 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 |
175 US ROUTE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164460176 | Susanne D'angelo-cooley | Dietitian, Registered | 175 Us Route 1, Scarborough, ME 04074-9048 | 2006-06-02 |
| 1295185932 | Suzanne Farnham | Dietitian, Registered | 175 Us Route 1, Scarborough, ME 04074-9048 | 2016-06-14 |
| 1942695093 | Rebecca Hillyer Leary | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-04-04 |
| 1114312774 | Abtin Farahmand | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-03-31 |
| 1255721627 | Anne Lapierre | Dietitian, Registered | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-01-23 |
| 1518375153 | Sarah Keller | Nurse Practitioner | 175 Us Route 1, Scarborough, ME 04074-9048 | 2014-07-28 |
| 1548671365 | Ashley Wiles | Nurse Practitioner | 175 Us Route 1, Scarborough, ME 04074-9048 | 2014-05-14 |
| 1144562638 | Kristen Alexis Grimes | Dietitian, Registered | 175 Us Route 1, Scarborough, ME 04074-9048 | 2013-03-22 |
| 1568710838 | Jessica Carol Doughty | Nurse Practitioner | 175 Us Route 1, Scarborough, ME 04074-9048 | 2012-08-17 |
| 1972863447 | Marie Masse Caldwell | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2012-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962624189 | Thabo Kenosi | Internal Medicine | Mmp Endocrinology & Diabetes Center, 175 Us Route One, Scarborough, ME 04074-9308 | 2007-05-03 |
| 1942695093 | Rebecca Hillyer Leary | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2015-04-04 |
| 1134436165 | Metabolic Leader LLC | Internal Medicine | 51 Us Route 1 Ste H, Scarborough, ME 04074-7134 | 2010-09-13 |
| 1124344122 | Kiranjot Gujral | Internal Medicine | 175 Us Route One, Scarborough, ME 04074-9308 | 2010-04-15 |
| 1629235387 | Heidi Michelsen Golden | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2008-05-20 |
| 1598974891 | Rahfa K Zerikly | Internal Medicine | 175 Us Route 1, Scarborough, ME 04074-9048 | 2007-05-22 |
| 1316023302 | Christine Louise Twining | Internal Medicine | 175 Us Route 1, Maine Center for Endocrinology and Diabetes, Scarborough, ME 04074 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013327162 | Aaron Wade Barton | Internal Medicine | 885 Union St Ste 235, Bangor, ME 04401-3096 | 2014-04-29 |
| 1518254903 | Roger Scott Rittmaster | Internal Medicine | 42 William Glen Dr, Camden, ME 04843-4431 | 2011-07-06 |
| 1881876266 | Celeste Cheryll Lopez Quianzon | Internal Medicine | 46 Fairview Ave Ste 335, Skowhegan, ME 04976-1481 | 2007-11-28 |
| 1437138955 | Wesley P Fairfield | Internal Medicine | 144 State St Fl 4, Portland, ME 04101-3776 | 2006-01-12 |
| 1811985963 | David Rawson Hotelling | Internal Medicine | 477 Congress St, 5th Floor, Portland, ME 04101-3427 | 2005-10-12 |
| 1881092765 | St. Joseph Hospital | Internal Medicine | 360 Broadway, Bangor, ME 04401-3979 | 2014-12-09 |
| 1558637827 | Shazia Ahmad | Internal Medicine | 905 Union St Ste 11, Bangor, ME 04401-3039 | 2012-03-30 |
| 1750652822 | Poonam Khadka | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2012-01-22 |
| 1699076133 | Mainehealth | Internal Medicine | 22 Bramhall St, Portland, ME 04102 | 2010-11-16 |
| 1184857203 | Rashid Cheema | Internal Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2009-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.