Medical House Calls of Southern Maine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013602 Issued in ME

Legal business name

MEDICAL HOUSE CALLS OF SOUTHERN MAINE

Practice address

211 Marginal Way
Suite 717
Portland, ME 04101-2438

Phone

(207) 318-5348

Fax

(866) 275-1475

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Robert Fried, M.D.NPI 1760599633

Title

President

Phone

(207) 318-5348

Specialties & licenses 1

Addresses

Locations

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.

• Robert Allan Fried, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Covington, KY
  • NPI 1760599633
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215025028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MARGINAL WAY",
            "address_2": "SUITE 717",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012438",
            "telephone_number": "207-318-5348",
            "fax_number": "866-275-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARGINAL WAY",
            "address_2": "SUITE 717",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012438",
            "telephone_number": "207-318-5348",
            "fax_number": "866-275-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSE CALLS OF SOUTHERN MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-318-5348",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Malka McVicar, LCPC, LADC
• MD Portland LLC
• Christine Nicole Meade, MD
• Anna Grace Meader, MD
• Medi-Rents of Maine, Inc. (Praxair Healthcar Services)
• Medical Laser Services, LLC
• Nicole Peters Mediouni, PHARMD
• Brenda Medlin, M.D.
• Renato Medrano, M.D.
• Alexander A Medunitza, PHARMD

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• 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.