Active NPI
Abby A Markham, MD
- Pediatrics Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD20135
- Practice address
- 22 Bramhall Street
Maine Medical Center Dept of Pediatrics
Portland, ME 04103 - Phone
- (207) 662-2541
- Fax
- (207) 662-3172
- NPI assigned
- Jun 23, 2011
- Last updated
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | MD20135 | ME | Primary |
Addresses
Primary practice location
22 Bramhall Street
Maine Medical Center Dept of Pediatrics
Portland, ME 04103
Mailing address
22 Bramhall Street
Maine Medical Center Dept of Pediatrics
Portland, ME 04102
Phone (207) 662-2541
Other names 1
- Abby Gross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Pediatrics | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Pediatrics | Past | Accepting new patients |
Locations
5 Bucknam Rd
Ste 2A
Falmouth, ME 04105
Phone (207) 781-1775
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
Interoperability endpoints
- agross9556@direct.mmc.mainehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maine Medical Partners Pediatrics
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
dba MaineHealth Medical Group-Primary Care
- Clinic/Center
- Portland, ME
- NPI 1487346722
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1164718540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL STREET",
"address_2": "MAINE MEDICAL CENTER DEPT OF PEDIATRICS",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-662-2541",
"fax_number": "207-662-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL STREET",
"address_2": "MAINE MEDICAL CENTER DEPT OF PEDIATRICS",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-662-2541",
"fax_number": "207-662-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "ABBY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD20135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "GROSS",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.