Mainehealth

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MAINEHEALTH

Doing business as

Maine Medical Center Infectious Disease

Practice address

22 Bramhall St
Portland, ME 04102

Phone

(207) 662-3067

NPI assigned

Oct 15, 2007

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lugene Anthony Inzana

Title

Associate Cfo

Phone

(207) 662-3538

Specialties & licenses 1

Addresses

Other names 1

• Maine Medical Center Infectious Disease Doing business as

Medicare fee-for-service enrollment

Enrolled in ME3 enrollments

Enrollment records 3

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073701157. Details of each certification follow.

• CCN 200009 Hospital · Active · Details

Hospital certification: CCN 200009

Legal name

MAINEHEALTH

Doing business as

MAINEHEALTH MAINE MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Feb 27, 2019

Beds

606

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Enrollment address

22 Bramhall St
Portland, ME 41023134
Main/Primary Hospital Location

Hospital subgroups

General, Acute care

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Mainehealth

  dba Maine Medical Center

  • Psychiatric Hospital Unit
  • Sanford, ME
  • NPI 1811917222
  Provider of Services

Other NPIs on the same Medicare enrollment 53

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167

  O20040701000166

  Same enrollment
• Mainehealth

  dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  O20040331000351, O20071116000569

  Same enrollment
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  O20040701000166, O20071116000569

  Same enrollment
• Mainehealth

  dba Maine Hemophilia and Thrombosis Center

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024

  O20040701000166, O20071116000569

  Same enrollment
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  O20040701000166, O20071116000569

  Same enrollment
• Mainehealth

  dba MMC Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, ME
  • NPI 1073702288

  O20040331000351

  Same enrollment
• Mainehealth

  dba Geriatric Consults

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  O20040331000351, O20040701000166, O20071116000569

  Same enrollment
• Mainehealth

  dba SMHC Physician Services

  • Multi-Specialty Clinic/Center
  • Biddeford, ME
  • NPI 1215417019

  O20040701000166

  Same enrollment
• Mainehealth

  dba MaineHealth Virtual Care Virtual Quick Care

  • Urgent Care Clinic/Center
  • Portland, ME
  • NPI 1265251540

  O20040701000166

  Same enrollment
• Mainehealth

  dba MMC Pediatric Intensive Care Unit

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  O20040331000351, O20040701000166, O20071116000569

  Same enrollment
• Mainehealth

  dba MaineHealth Behavioral Health

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1265912067

  O20040701000166

  Same enrollment
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1265912075

  O20040701000166

  Same enrollment

Listed as

Mainehealth Maine Medical CenterCCN 200009 · All quality measures

Overall star rating

4 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

All disclosed owners & managing parties 33

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lisa T Beaule, MD

  • Urology Physician
  • South Portland, ME
  • NPI 1518913433

  Corporate Director

  CMS ownership
• Brett M Loffredo, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1295809911

  Corporate Director

  CMS ownership
• Daniel L Loiselle, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1316906589

  Corporate Director

  CMS ownership
• Peter C Manning, MD

  • Obstetrics & Gynecology Physician
  • Biddeford, ME
  • NPI 1902977077

  Corporate Director

  CMS ownership
• Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
  • NPI 1326019563

  Corporate Director

  CMS ownership

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maura J Adams, MD

  • Anesthesiology Physician
  • Rockport, ME
  • NPI 1851364467
  NPD
• Jennifer K Arich, PA-C

  • Surgical Physician Assistant
  • Portland, ME
  • NPI 1417196577
  NPD
• Shannon Sicard Axelson, CNM MSN

  • Advanced Practice Midwife
  • Augusta, ME
  • NPI 1275678484
  NPD
• Ashley Marie Bartlett, PA

  • Physician Assistant
  • Portland, ME
  • NPI 1326769548
  NPD
• Susan Bell, NP

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1639570310
  NPD
• Cameron Blake

  • Physician Assistant
  • Damariscotta, ME
  • NPI 1811564842
  NPD
• Gage August Bollinger, DO

  • Family Medicine Physician
  • Kennebunk, ME
  • NPI 1417538653
  NPD
• Cameron M Burke, DO

  • Family Medicine Physician
  • Scarborough, ME
  • NPI 1669095717
  NPD
• Elaine M Cadorette, PAC

  • Medical Physician Assistant
  • Scarborough, ME
  • NPI 1164751152
  NPD
• Nicole Chase, FNP-C

  • Family Nurse Practitioner
  • Standish, ME
  • NPI 1467560540
  NPD
• Leeann Marie Chatto, CNM

  • Advanced Practice Midwife
  • Ellsworth, ME
  • NPI 1619657475
  NPD
• Valerie M Cook, NNP

  • Neonatal Nurse Practitioner
  • Portland, ME
  • NPI 1124186143
  NPD

Affiliated clinicians 2,518

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Megan McLellan Abbott, MD

  • Otolaryngology Physician
  • Scarborough, ME
  • NPI 1801087408

  Hospital

  Care Compare affiliation
• George E Abboud, MD

  • Internal Medicine Physician
  • Biddeford, ME
  • NPI 1376612945

  Hospital

  Care Compare affiliation
• Ruslan Abdukalikov, DO

  • Anesthesiology Physician
  • Portland, ME
  • NPI 1831694793

  Hospital

  Care Compare affiliation
• Ahmad Abed Elnoor, M.D.

  • Urology Physician
  • Dover Foxcroft, ME
  • NPI 1861792483

  Hospital

  Care Compare affiliation
• Abraham Abernethy

  • Cardiovascular Disease Physician
  • Scarborough, ME
  • NPI 1306071428

  Hospital

  Care Compare affiliation
• Joselyn M Abernethy, MSN, ACNP-BC

  • Nurse Practitioner
  • Portland, ME
  • NPI 1699922492

  Hospital

  Care Compare affiliation
• Philip Abraham, M.D.

  • Internal Medicine Physician
  • Kittery, ME
  • NPI 1497750764

  Hospital

  Care Compare affiliation
• Joshua Abrams, PA-C

  • Surgical Physician Assistant
  • Portland, ME
  • NPI 1932832128

  Hospital

  Care Compare affiliation
• Christopher Abruzzese, D.O

  • Anesthesiology Physician
  • Portland, ME
  • NPI 1558789305

  Hospital

  Care Compare affiliation
• Justine Marie Achille, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1962962324

  Hospital

  Care Compare affiliation
• Haley Estabrook Acker, PA-C

  • Physician Assistant
  • Portland, ME
  • NPI 1972167377

  Hospital

  Care Compare affiliation
• Lindsey Ackley-Pozzessere, DO

  • Internal Medicine Physician
  • Brunswick, ME
  • NPI 1477991842

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1073701157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 US ROUTE 1",
            "address_2": "BUILDING C",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747609",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-662-3538"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Medical Center Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maine Medical Center Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maine Vocational Associates, Inc. (Maine Vocational & Rehabilitation Associates, Inc.)
• Mainehealth (MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care))
• Mainehealth (MaineHealth Pharmacy Brighton Ave)
• Mainehealth
• Mainehealth (Mainehealth Behavioral Health)
• Mainehealth (MMC Oral Surgery)
• Mainehealth (Geriatric Consults)
• Mainehealth (MMC Family Practice Residency Program)
• Mainehealth (MaineHealth Virtual Care Virtual Quick Care)
• Mainehealth (MMC Pediatric Intensive Care Unit)

• Infectious Disease Physician in Portland, ME
• Providers in Portland, ME by specialty
• Infectious Disease Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.