MAINEHEALTH (NPI# 1497068969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497068969 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MAINE MEDICAL PARTNERS SCARBOROUGH FAMILY MEDICINE |
| Practice Address |
300 Professional Dr Scarborough ME 04074 |
| Mailing Address |
22 Bramhall St Portland ME 04102-3134 |
| Practice Telephone | 2078833491 |
| Practice Fax Number | 2078835587 |
| Mailing Telephone | 2076626562 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE/CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 37563 | ME | Hospitals |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners Scarborough Family Medicine | Other Name - Individual/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 |
300 PROFESSIONAL DR |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538106679 | Joseph T Degrinney IIi | Internal Medicine | 300 Professional Dr, Scarborough, ME 04074-8897 | 2006-05-31 |
| 1205208931 | Julie Ann Lernihan | Pharmacist | 300 Professional Dr, Scarborough, ME 04074-8897 | 2015-10-21 |
| 1609251610 | Mainehealth | General Acute Care Hospital | 300 Professional Dr, Scarborough, ME 04074-8433 | 2015-07-21 |
| 1366826505 | Maine Medical Partners | Psychologist | 300 Professional Dr, Scarborough, ME 04074-8433 | 2015-07-17 |
| 1992117204 | Bryan Andrew Lamoreau | Family Medicine | 300 Professional Dr, Scarborough, ME 04074-8897 | 2014-05-21 |
| 1306273917 | Jennifer Lisa Alexander | Social Worker | 300 Professional Dr, Scarborough, ME 04074-8897 | 2013-09-27 |
| 1912227604 | Caitlin E Willard | Family Medicine | 300 Professional Dr, Scarborough, ME 04074-8433 | 2010-06-04 |
| 1003044488 | Marshall Rob Chamberlin | Internal Medicine | 300 Professional Dr, Suite 2b, Scarborough, ME 04074-8897 | 2009-06-24 |
| 1366526816 | Douglas F. Cowan | Radiology | 300 Professional Dr, Scarborough, ME 04074-8433 | 2006-10-24 |
| 1467477349 | Maine Medical Partners | Family Medicine | 300 Professional Dr, Scarborough, ME 04074-8433 | 2006-07-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| 1255594560 | Howard Manning Chase | Family Medicine | 438 Us Route 1, Scarborough, ME 04074-9105 | 2008-07-07 |
| 1063595148 | Magili Chapman Quinn | Family Medicine | 213 Pleasant Hill Rd, Scarborough, ME 04074-9450 | 2006-10-23 |
| 1205924347 | Gwendolyn Oguin | Family Medicine | 20 Mussey Rd, Suite 2, Scarborough, ME 04074-9570 | 2006-10-11 |
| 1225057565 | Jill D. Mahoney | Family Medicine | 51 Us Route 1 Ste A, Scarborough, ME 04074-7145 | 2006-07-18 |
| 1649269952 | Andrew J Candelore | Family Medicine | 617 Us Route 1, Scarborough, ME 04074-9714 | 2005-10-19 |
| 1225038805 | David Merrill | Family Medicine | 69 Us Route 1, 6 Nonesuch Rd, Scarborough, ME 04074-9374 | 2005-07-26 |
| 1568979631 | Scarborough Integrative Health, P.a. | Family Medicine | 51 Us Route 1 Ste A, Scarborough, ME 04074-7145 | 2018-01-10 |
| 1760859409 | A J Candelore Do Pllc | Family Medicine | 617 Us Route 1, Scarborough, ME 04074-9714 | 2015-08-28 |
| Find all providers in SCARBOROUGH | ||||
| 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.