Maine Rehabilitative Healthcare, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1432 Issued in ME

Legal business name

MAINE REHABILITATIVE HEALTHCARE, LLC

Practice address

306 US Route 1
Building B South
Scarborough, ME 04074-7640

Phone

(207) 883-3434

Fax

(207) 883-1424

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vincent P Herzog, D.O.

Title

Owner

Phone

(207) 883-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Cheryl A Sherman, PA-C

  • Physician Assistant
  • Lewiston, ME
  • NPI 1578559100
  NPD (past)
• Suzanne Keefe, FNP-CS

  • Nurse Practitioner
  • Newton, MA
  • NPI 1467408765
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1285703025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 US ROUTE 1",
            "address_2": "BUILDING B SOUTH",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747640",
            "telephone_number": "207-883-3434",
            "fax_number": "207-883-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 US ROUTE 1",
            "address_2": "BUILDING B SOUTH",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747640",
            "telephone_number": "207-883-3434",
            "fax_number": "207-883-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE REHABILITATIVE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-883-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "1432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178380000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine Medical Partners
• Maine Medical Partners
• Maine Molecular Imaging LLC
• Maine Neurology, P.a.
• Maine Neurology, PA
• Maine Spine & Nerve Institute
• Maine Veterans' Home
• Maine Veterans' Homes
• Maine Zen Den Acupuncture & Wellness
• Mainehealth

• Physical Medicine & Rehabilitation Physician in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Physical Medicine & Rehabilitation Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.