MAINEHEALTH (NPI# 1881987675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881987675 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MAINE MEDICAL PARTNERS MAINEHEALTH CARDIOLOGY |
| Practice Address |
96 Campus Dr Suite 1 Scarborough ME 04074 |
| Mailing Address |
22 Bramhall St Portland ME 04102-3134 |
| Practice Telephone | 2078859905 |
| Practice Fax Number | 2073965600 |
| Mailing Telephone | 2076626562 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE/CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | 282N00000X | General Acute Care Hospital | 37563 | ME | Hospitals |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Maine Medical Partners MaineHealth Cardiology | 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 |
96 CAMPUS DR SUITE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240033 | Brooke Sears Ritvo | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2005-07-26 |
| 1356954523 | Brittany Ann Giroux | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-08-27 |
| 1184252264 | Daniel Adam Svenson | Registered Nurse | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-04-01 |
| 1780218057 | Melinda Cormier | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-02-26 |
| 1659931806 | Lisa Conway | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-06-19 |
| 1447714803 | Nicole L Laude | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-29 |
| 1477027019 | Kathryn Anne Ryan | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-16 |
| 1477066892 | Molly E Montgomery | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2017-11-07 |
| 1578016499 | Katharine Kennesaw Richards | Nurse Practitioner | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2016-07-27 |
| 1346599958 | Brooke K Maden | Physician Assistant | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2012-08-29 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1346240033 | Brooke Sears Ritvo | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2005-07-26 |
| 1942565247 | Maxwell Afari | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074 | 2012-07-12 |
| 1730441346 | Angela Young Higgins | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2012-06-10 |
| 1306071428 | Abraham Abernethy | Internal Medicine | 96 Campus Dr Ste 1, Scarborough, ME 04074-7164 | 2009-05-19 |
| 1326201773 | Samip C. Vasaiwala | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2008-07-07 |
| 1245415140 | Jordan Stewart Leyton-mange | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2008-01-09 |
| 1447458062 | Christopher C Gelwix | Internal Medicine | 301c Us Route 1, Scarborough, ME 04074-9701 | 2007-07-05 |
| 1033233374 | Aimee C Welsh | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2007-03-19 |
| 1184640963 | Karl C. Sze | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-14 |
| 1629000302 | Marco N. Diaz | Internal Medicine | 96 Campus Drive, Suite 1, Scarborough, ME 04074 | 2006-07-06 |
| 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.