NPIMap

Organization Active NPI

Cindy Asbjornsen DO LLC

  • Family Medicine Physician
  • South Portland, ME
National Provider Identifier
1275813933
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016 Issued in ME
Legal business name
CINDY ASBJORNSEN DO LLC
Practice address
100 Foden Rd
Suite 307 W
South Portland, ME 04106-2327
Phone
(207) 221-3919
Fax
(719) 314-2908
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Dr. Cindy B Asbjornsen, D.O.
Title
Owner
Phone
(207) 221-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2016 ME Primary

Addresses

Primary practice location

100 Foden Rd
Suite 307 W
South Portland, ME 04106-2327

Mailing address

100 Foden Rd
Suite 307 W
South Portland, ME 04106-2327
Phone (207) 221-3919

Other identifiers 1

IdentifierTypeStateIssuer
2016OtherMESTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111017000146 ME Part B Supplier - Clinic/Group Practice 5496927410 Receives reassigned benefits from 10 practitioners
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Locations

100 Foden Rd
Ste W-307
South Portland, ME 04106
Phone (207) 221-3919

35 Foden Rd
Ste 2
South Portland, ME 04106

35 Foden Rd
South Portland, ME 04106
Phone (207) 221-3919

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1275813933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FODEN RD",
            "address_2": "SUITE 307 W",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-221-3919",
            "fax_number": "719-314-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD",
            "address_2": "SUITE 307 W",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-221-3919",
            "fax_number": "719-314-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY ASBJORNSEN DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "ASBJORNSEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-221-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2016",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.