Proctology Associates of Maine PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PROCTOLOGY ASSOCIATES OF MAINE PA

Doing business as

coastal Health and wellness

Practice address

214A Durham Rd
Brunswick, ME 04011-7225

Phone

(207) 406-2698

Fax

(207) 406-2698

NPI assigned

Aug 9, 2006

Last updated

May 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A Pelletier, DO

Title

Managing Partner

Phone

(207) 406-2698

Specialties & licenses 1

Addresses

Other names 1

• coastal Health and wellness Doing business as

Locations

Practitioners 1

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.

• Salah Al-Hashimi, MD

  • Surgery Physician
  • South Portland, ME
  • NPI 1659363703
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1326058504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214A DURHAM RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117225",
            "telephone_number": "207-406-2698",
            "fax_number": "207-406-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214A DURHAM RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117225",
            "telephone_number": "207-406-2698",
            "fax_number": "207-406-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOLOGY ASSOCIATES OF MAINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "207-406-2698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coastal Health and wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrance Preston Pratt, PT
• Preferred Therapy Outpatient Services of Me, LLC
• Premier Physical Therapy-Midcoast, LLC
• Hallie E Prince, NP
• Jean M Principe, PHD
• Providence Service Corporation of Maine
• Providence Service Corporation of Maine
• Psychiatrie.Me PLLC
• Psychology Specialists of Maine
• Psychwellness, LLC

• Surgery Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.