Organization Active NPI

Asap Medical Clinics LLC

  • Family Medicine Physician
  • South Portland, ME
National Provider Identifier
1285758953
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014330 Issued in ME
Legal business name
ASAP MEDICAL CLINICS LLC
Practice address
209 Western Ave
Suite B1-B2
South Portland, ME 04106
Phone
(207) 553-9071
Fax
(207) 553-9074
NPI assigned
Mar 19, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Trish E Ibarra
Title
Clinic Administrator
Phone
(207) 553-9071

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Family Medicine Physician 207Q00000X 013647 ME
Family Medicine Physician 207Q00000X 014330 ME Primary

Addresses

Primary practice location

209 Western Ave
Suite B1-B2
South Portland, ME 04106

Mailing address

209 Western Ave
Suite B1-B2
South Portland, ME 04106
Phone (207) 553-9071

National Provider Directory

National Provider Directory

Locations

209 Western Ave
Ste B1B2
South Portland, ME 04106
Phone (207) 553-9071

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1285758953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WESTERN AVE",
            "address_2": "SUITE B1-B2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-553-9071",
            "fax_number": "207-553-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WESTERN AVE",
            "address_2": "SUITE B1-B2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-553-9071",
            "fax_number": "207-553-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP MEDICAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "207-553-9071"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013647",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014330",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 3, 2008; 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.