Casco Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD12923 Issued in ME

Legal business name

CASCO MEDICAL GROUP

Practice address

535 Ocean Ave
Suite 2 - Second Floor
Portland, ME 04103

Phone

(207) 518-6000

Fax

(207) 518-6001

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles T Rainville III

Title

President

Phone

(207) 518-6041

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Perreault, CADC, LMT

  • Addiction (Substance Use Disorder) Counselor
  • Portland, ME
  • NPI 1376830752
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1205924594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "address_2": "SUITE 2 - SECOND FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-518-6000",
            "fax_number": "207-518-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "address_2": "SUITE 2 - SECOND FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-518-6000",
            "fax_number": "207-518-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "RAINVILLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-518-6041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5507",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD12923",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "AM082082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casco Bay Medical PLLC
• Casco Bay Recovery
• Casco Bay Rehabilitation, PA
• Casco Bay Substance Abuse Resource Center
• Casco Bay Surgery, PA
• Case Management Solutions (Penobscot Community Case Management)
• Michael G Case, PA
• Daniel Casey, MD
• Benjamin Pierrepont Cashin, LCSW
• Wendy J Cassetta, LCPC-CC

• Obstetrics & Gynecology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.