Active NPI
Asap Medical Clinics LLC
- Family Medicine Physician
- South Portland, ME
National Provider Identifier
1285758953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 014330
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.