Active NPI
Spectrum Healthcare Partners, P.a.
- Diagnostic Radiology Physician
- North Conway, NH
National Provider Identifier
1144243197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SPECTRUM HEALTHCARE PARTNERS, P.A.
- Practice address
- 3073 White Mountain Hwy
North Conway, NH 03860-7101 - Phone
- (307) 356-5461
- NPI assigned
- Jul 25, 2006
- Organization subpart
- Yes
- Parent organization
- SPECTRUM HEALTHCARE PARTNERS, P.A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Amanda Maselli
- Title
- Cfo
- Phone
- (207) 482-7800
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Therapeutic Radiology Physician | 2085R0203X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
3073 White Mountain Hwy
North Conway, NH 03860-7101
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SOUT301877 | Other | NH | NH ANTHEM |
| 3861454 | Other | NH | AETNA |
| M108750 | Other | ME | CIGNA |
Other names 1
- Spectrum Radiology South
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040920000935 | NH | Part B Supplier - Clinic/Group Practice | 7618871245 |
Receives reassigned benefits from 79 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Raymond, NH; Portsmouth, NH; North Conway, NH; Newfields, NH; Exeter, NH; Hampton, NH; Durham, NH |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
O20040920000935
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
O20040920000935
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
O20040920000935
National Provider Directory
National Provider Directory- Part of
- Spectrum Healthcare Partners PA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1285924795
-
- Anatomic Pathology & Clinical Pathology Physician
- Asheville, NC
- NPI 1265642433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1144243197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266",
"telephone_number": "207-482-7861",
"fax_number": "207-482-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "307-356-5461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM HEALTHCARE PARTNERS, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECTRUM HEALTHCARE PARTNERS, P.A",
"enumeration_date": "2006-07-25",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "MASELLI",
"authorized_official_first_name": "RYAN AMANDA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-482-7800"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Therapeutic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH ANTHEM",
"identifier": "SOUT301877",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3861454",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M108750",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spectrum Radiology South",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.