Hagen Blaszyk, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Portland, ME
NPI 1285668103 · NPPES record last updated Aug 21, 2009
Key facts
- NPI
- 1285668103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 017569 (ME)
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-2959
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 40
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Healthcare Partners PA
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 283-7180
10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6000
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 778-6031
118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 338-9345
123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 373-6565
15 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2162
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
420 Franklin St
Rumford, ME 04276-2104
Phone (207) 396-1130
5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-7085
71 US Route 1
Suite a
Scarborough, ME 04074-7168
Phone (207) 885-8400
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8400
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Central Maine Medical Center
- Mainehealth Mid Coast Hospital
- York Hospital
- Lincolnhealth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000154 | ME | Practitioner - Pathology | 2264530914 | Reassigns benefits to 2 organizations |
| I20100313000063 | NH | Practitioner - Pathology | 2264530914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017569 | ME | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, PA | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 017569 | ME | Yes |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
324 Gannett Dr
Suite 200
South Portland, ME 04106-3270
Phone (207) 482-7800
Other providers in Portland, ME
- Aaron Blanchette
- Jennifer A Blanchette
- Kimberly M. Blaney
- Cheryl L Blank
- Patricia W Blankenship
- Summerlee Blauvelt
- Blessed Hope Home Care LLC
- Steven C. Blessington
- Melissa Blier
- Paul H Bloch
All providers in Portland, ME · Anatomic Pathology & Clinical Pathology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.