Head and Neck Surgical Associates, PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

HEAD AND NECK SURGICAL ASSOCIATES, PA

Practice address

1250 Forest Ave
Suite 301
Portland, ME 04103-1884

Phone

(207) 797-5753

Fax

(207) 878-1715

NPI assigned

Mar 28, 2006

Last updated

Sep 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine H Butland

Title

Office Manager

Phone

(207) 797-5753

Specialties & licenses 1

Addresses

Other identifiers 2

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Portland, ME
  • NPI 1184810400
  NPPES parent name
• Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Norway, ME
  • NPI 1265628804
  NPPES parent name
• Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Biddeford, ME
  • NPI 1508052143
  NPPES parent name
• Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bridgton, ME
  • NPI 1508052150
  NPPES parent name
• Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Waterville, ME
  • NPI 1548456866
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen S Fahrner, M.D

  • Otolaryngic Allergy Physician
  • Steamboat Springs, CO
  • NPI 1306834395
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1184684599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-797-5753",
            "fax_number": "207-878-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-797-5753",
            "fax_number": "207-878-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BUTLAND",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-797-5753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111630000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CB0866",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Emerson Hazard, PA-C
• Rajaie George Hazboun, M.D., M.B.A
• Thomas M Hazel, RN
• Gordon Loughlin Hazen, PA
• Head and Neck Surgical Associates
• Head Games Inc
• Theresa Carmicino Heald, MA CCC SLP
• Lindsay Healey, M.S., CCC-SLP
• Healthcalls LLC
• Healthlinks Me

• Otolaryngology/Facial Plastic Surgery Physician in Portland, ME
• Providers in Portland, ME by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.