MAINE COMPREHENSIVE PAIN MANAGEMENT, PC (NPI# 1467928705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467928705 |
| Entity Type | Organization |
| Organization Name | MAINE COMPREHENSIVE PAIN MANAGEMENT, PC |
| Practice Address |
400 Enterprise Dr Ste 101 Scarborough ME 04074-7662 |
| Practice Telephone | 2072896726 |
| Practice Fax Number | 2072891219 |
| Mailing Telephone | 2072896726 |
| Mailing Fax Number | 2072891219 |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | TERENCE KERNAN GRAY (PRESIDENT) |
| Authorized Official Telephone | 8609444708 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
400 ENTERPRISE DR STE 101 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588604698 | Terence Gray | Specialist | 400 Enterprise Dr Ste 101, Scarborough, ME 04074-7662 | 2006-06-07 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508346750 | Precision Health Family Functional Medicine, Pa, LLC | Clinic/Center | 10 Plaza Dr Ste 203, Scarborough, ME 04074-1801 | 2018-08-17 |
| 1740573906 | Iannetta Manipulation LLC | Clinic/Center | 632 Us Route 1, Scarborough, ME 04074-9794 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1952671356 | Manchester Interventional Spine, LLC | Clinic/Center | 27 Bowdoin St, Manchester, ME 04351-3554 | 2012-01-03 |
| 1881184190 | Riverside Healing Center | Clinic/Center | 92 Commercial St, Bath, ME 04530-2582 | 2018-05-11 |
| 1336638659 | Allan J Bogdan Md Pa | Clinic/Center | 34 Old County Rd, Rockport, ME 04856-4004 | 2018-05-02 |
| 1174035810 | Dr Lewandowskis Infinity Hearing LLC | Clinic/Center | 453 Us Route 1, Kittery, ME 03904-5513 | 2017-11-03 |
| 1841672094 | Maine Thoracic Surgery, LLC | Clinic/Center | 21 Northbrook Dr # B, Falmouth, ME 04105-1379 | 2015-06-24 |
| 1841688942 | Western Avenue Day Surgery Center | Clinic/Center | 244 Western Ave, South Portland, ME 04106-2430 | 2014-12-26 |
| 1881967297 | Tms Centers of Maine | Clinic/Center | 837 Broadway, South Portland, ME 04106-2708 | 2012-02-15 |
| 1881851517 | Bayside Neurorehabilitation Services | Clinic/Center | 26 Portland St, Portland, ME 04101-2912 | 2008-05-20 |
| 1598948283 | Otolaryngology Associates LLC, Pa | Clinic/Center | 12 Bates St, Lewiston, ME 04240-7675 | 2007-12-17 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on MAINE COMPREHENSIVE PAIN MANAGEMENT, PC.
| 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.