Maurice C. Hothem, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAURICE C. HOTHEM, DO PA

Practice address

222 Auburn St
Portland, ME 04103-6004

Phone

(207) 797-4148

Fax

(207) 797-5730

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

MC Hothem, DO

Title

Owner and Provider

Phone

(207) 797-4148

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1134288582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036004",
            "telephone_number": "207-797-4148",
            "fax_number": "207-797-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036004",
            "telephone_number": "207-797-4148",
            "fax_number": "207-797-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE C. HOTHEM, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HOTHEM",
        "authorized_official_first_name": "MC",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-797-4148",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115730000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M9150",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Maturo, MD
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• Rachel H Matusko, FNP-C
• Cody Mauch
• Alexandra Strawbridge Maurer, LAC
• Maxim Healthcare Services, Inc.
• Hilary Anne Maxim, AU.D.
• Maximum Care of Maine LLC
• Katherine Maxsimic
• Jeffrey Conner Maxwell, DO

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.