MAINEHEALTH (NPI# 1497052518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497052518 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MAINE MEDICAL PARTNERS NEUROLOGY |
| Practice Address |
49 Spring St 2nd Floor Scarborough ME 04074 |
| Mailing Address |
22 Bramhall St Portland ME 04102-3134 |
| Practice Telephone | 2078831414 |
| Practice Fax Number | 2078831010 |
| Mailing Telephone | 2076626562 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | LUGENE ANTHONY INZANA (ASSCOAITE CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 282N00000X | General Acute Care Hospital | 37563 | ME | Hospitals |
| 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 | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners Neurology | Doing Business As Name - 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 |
49 SPRING ST 2ND FLOOR |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643476 | Michael A Binette | Orthopaedic Surgery | 49 Spring St, Scarborough, ME 04074-8926 | 2005-07-20 |
| 1487134284 | Amanda R Schlosky | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2018-08-21 |
| 1245692375 | Stephanie Chan | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2016-03-28 |
| 1952787954 | Bram Newman | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2015-08-03 |
| 1972911659 | David J. Spach | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2014-07-26 |
| 1073926176 | Allyson Crasnick | Nurse Practitioner | 49 Spring St, Scarborough, ME 04074-8926 | 2014-06-05 |
| 1063851004 | Lauren Delprato | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2013-06-24 |
| 1447694435 | Michael J Valentine | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2013-04-22 |
| 1851643548 | Margaretta Byrne | Registered Nurse | 49 Spring St, Scarborough, ME 04074-8926 | 2012-10-05 |
| 1346504545 | Evdokia Eleftheriou | Internal Medicine | 49 Spring St, Scarborough, ME 04074-8926 | 2012-07-02 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179490 | Edward J Drasby | Psychiatry & Neurology | 7 Portland Farms Rd # 2, Scarborough, ME 04074-8305 | 2005-10-25 |
| 1427347012 | David Taplinger | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2011-04-04 |
| 1467695437 | Kelly Jo Baldwin | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2009-04-07 |
| 1588839773 | Michael S Kleinman | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074 | 2008-04-28 |
| 1053518191 | Christopher Lee Cummings | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2007-07-02 |
| 1245457514 | Diana Jeanne Goodman | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2007-04-19 |
| 1609915602 | Biljana Beretich | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2007-02-06 |
| 1194805812 | Maine Neurology, P.a. | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2006-10-17 |
| 1740380153 | Eric Dinnerstein | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2006-09-25 |
| 1336254259 | Christine Lu-emerson | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2006-08-20 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on MAINEHEALTH.
| 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.