NPIMap

Organization Active NPI

Appledore Mediacal GRP II, Inc.

Doing business as Coastal Cardiothoracic and Vascular Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • York, ME
National Provider Identifier
1174730238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
APPLEDORE MEDIACAL GRP II, INC.
Doing business as
Coastal Cardiothoracic and Vascular Associates
Practice address
12 Hospital Dr Ste a
York, ME 03909-1030
Phone
(207) 351-6920
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Suzette Profio
Title
Practice Manager
Phone
(603) 559-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

12 Hospital Dr Ste a
York, ME 03909-1030

Mailing address

333 Borthwick Ave Ste 402
Portsmouth, NH 03801-7128
Phone (603) 559-4111

Other names 1

  • Coastal Cardiothoracic and Vascular Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appledore Medical Group II Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 Hospital Dr
Ste A
York, ME 03909
Phone (207) 351-3920

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174730238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE STE 402",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-559-4111",
            "fax_number": "603-559-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR STE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "207-351-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEDORE MEDIACAL GRP II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROFIO",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-559-4167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Cardiothoracic and Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.