U.S. Healthworks Medical Group of Maine, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.

Practice address

400 Southborough Dr
South Portland, ME 04106-3249

Phone

(207) 761-1100

Fax

(207) 761-3700

NPI assigned

Oct 3, 2016

Organization subpart

Yes

Parent organization

U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Joseph T Malla

Title

President & Chief Executive Officer

Phone

(661) 678-2600

Specialties & licenses 2

Addresses

Tax ID family

U S Healthworks Medical3 organizations share this tax ID, including this one

Part of

U S Healthworks Medical

Other organizations with this tax ID 2

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

• U.S. Healthworks Medical Group of Maine, Inc.

  • Urgent Care Clinic/Center
  • Brunswick, ME
  • NPI 1821547860
  NPD tax ID
• U.S. Healthworks Medical Group of Maine, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1194705764
  NPD tax ID

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1205385143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHBOROUGH DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063249",
            "telephone_number": "207-761-1100",
            "fax_number": "207-761-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MALLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Clancy Tulloh, PA-C
• Karen Turgeon, LCSW
• Arthur Turko, MD
• Kirsten Weitzel Turrisi, OD
• Kathryn Twombly
• Franklin Samuel Ufitikirezi
• Lucinda Ugarte, LMFT
• Lynne Unger, LCSW
• Urugo Residential Services, LLC
• Elizabeth Ruth Vaillancourt Poultney

• Urgent Care Clinic/Center in South Portland, ME
• Providers in South Portland, ME by specialty
• Urgent Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.