Active NPI
Maine Nephrology Associates P.a.
- Nephrology Physician
- Portland, ME
National Provider Identifier
1043424344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MAINE NEPHROLOGY ASSOCIATES P.A.
- Practice address
- 1600B Congress St
Portland, ME 04102-2124 - Phone
- (207) 774-5222
- Fax
- (207) 761-4433
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael C Akom, MD
- Title
- President
- Phone
- (207) 774-5222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME | Primary |
Addresses
Primary practice location
1600B Congress St
Portland, ME 04102-2124
Mailing address
1600B Congress St
Portland, ME 04102-2124
Phone (207) 774-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123110000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
55 Congress Ave
Bath, ME 04530
Phone (207) 443-7485
22 W Cole Rd
Ste A
Biddeford, ME 04005
Phone (207) 284-5252
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Portland, ME
- NPI 1124028865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518134400000",
"number": "1043424344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600B CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022124",
"telephone_number": "207-774-5222",
"fax_number": "207-761-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600B CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022124",
"telephone_number": "207-774-5222",
"fax_number": "207-761-4433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE NEPHROLOGY ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2018-02-09",
"status": "A",
"authorized_official_last_name": "AKOM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-774-5222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123110000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
- Maine Medical Partners
- Maine Medical Specialists PC
- Maine Multilingual Services LLC
- Maine Multilingual Services LLC
- Maine Neonatology Associates
- Maine Orthopaedic Center, PA
- Maine Orthotic and Prosthetic Rehab Services Inc
- Maine Pediatric Surgical Associates
- Maine Pretrial Services, Inc.
- Maine Prosthodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.