NPIMap

Organization Active NPI

Head and Neck Surgical Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Portland, ME
National Provider Identifier
1184810400
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
HEAD AND NECK SURGICAL ASSOCIATES
Practice address
1250 Forest Ave
Suite 301
Portland, ME 04103-1889
Phone
(207) 797-5753
Fax
(207) 878-1715
NPI assigned
Sep 20, 2007
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HEAD AND NECK SURGICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU Primary

Addresses

Primary practice location

1250 Forest Ave
Suite 301
Portland, ME 04103-1889

Mailing address

1250 Forest Ave
Suite 301
Portland, ME 04103-1889
Phone (207) 797-5753

National Provider Directory

National Provider Directory
Tax ID family
Head Neck Surgical As5 organizations share this tax ID, including this one
Part of
Head Neck Surgical As

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1184810400",
    "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": "041031889",
            "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": "041031889",
            "telephone_number": "207-797-5753",
            "fax_number": "207-878-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEAD AND NECK SURGICAL ASSOCIATES",
        "enumeration_date": "2007-09-20",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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 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.