NPI 1346687167 · live from the CMS NPI Registry
Maine Medical Partners
Surgery in Scarborough, ME. National Provider Identifier 1346687167, active.
NPI record
| NPI | 1346687167 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Surgery 208600000X |
| Practice location | 92 Campus Drive, 3rd Floor, Scarborough, ME 04074 |
| Practice phone | 207-774-6368 |
| Mailing address | 300 Southborough Dr, South Portland, ME 04106 |
| Enumerated | June 3, 2013 |
| Last updated | December 13, 2022 |
| Authorized official | Donna Jauregui, Dir-Prvdr Enrollment & Cvo, Mhmg PA |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Colon & Rectal Surgery | 208C00000X | — |
| Surgery primary | 208600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.