NPI 1497052518 · live from the CMS NPI Registry
Mainehealth
Psychiatry & Neurology, Neurology in Scarborough, ME. National Provider Identifier 1497052518, active.
NPI record
| NPI | 1497052518 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 49 Spring St, 2nd Floor, Scarborough, ME 04074 |
| Practice phone | 207-883-1414 |
| Mailing address | 22 Bramhall St, Portland, ME 04102 |
| Enumerated | February 25, 2011 |
| Last updated | December 19, 2022 |
| Authorized official | Lugene Inzana, Asscoaite Cfo |
| Other names | Maine Medical Partners Neurology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | — |
| 2084N0600X | — | |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | — |
| Psychiatry & Neurology, Vascular Neurology | 2084V0102X | — |
| Radiologic Technologist, Magnetic Resonance Imaging | 2471M1202X | — |
| General Acute Care Hospital | 282N00000X | 37563 (ME) |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.