Organization Active NPI

Portland Pain Solutions LLC

  • Pain Clinic/Center
  • Portland, ME
National Provider Identifier
1104400621
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PORTLAND PAIN SOLUTIONS LLC
Practice address
1945 Congress St Ste 103
Portland, ME 04102-1967
Phone
(207) 835-8116
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Frederick Craig Littlejohn, MDNPI 1053581058
Title
President
Phone
(207) 631-3194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1945 Congress St Ste 103
Portland, ME 04102-1967

Mailing address

25 Chestnut LN
Yarmouth, ME 04096-8442
Phone (207) 835-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719002155 ME Part B Supplier - Clinic/Group Practice 0244633956 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

1945 Congress St
Ste C
Portland, ME 04102
Phone (207) 761-0177

1945 Congress St
Ste 102B
Portland, ME 04102

1945 Congress St
Ste 103
Portland, ME 04102
Phone (207) 835-8116

1945 Congress St
Ste 102C
Portland, ME 04102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23721/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1104400621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT LN",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968442",
            "telephone_number": "207-835-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CONGRESS ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021967",
            "telephone_number": "207-835-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-631-3194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.