Active NPI
Mainehealth
Doing business as MMC Cardiology
- Cardiovascular Disease Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MAINEHEALTH
- Doing business as
- MMC Cardiology
- Practice address
- 22 Bramhall St
Portland, ME 04102 - Phone
- (207) 662-2276
- NPI assigned
- Feb 7, 2008
- Last updated
- May 11, 2020
- 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
- Lugene Anthony Inzana
- Title
- Associate Cfo
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102
Mailing address
301 US Route 1
Building C
Scarborough, ME 04074-7609
Phone (207) 396-8600
Other names 1
- MMC Cardiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331000351 | ME | Part B Supplier - Clinic/Group Practice | 7517860588 |
Receives reassigned benefits from 46 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Farmington, ME; Portland, ME; Scarborough, ME |
| O20040701000166 | ME | Part B Supplier - Clinic/Group Practice | 7517860588 |
Receives reassigned benefits from 3,561 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 43
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
O20040331000351
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
O20040701000166
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
O20040331000351, O20040701000166
-
dba MMC Oral Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Portland, ME
- NPI 1073702288
O20040331000351
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
O20040331000351, O20040701000166
-
dba SMHC Physician Services
- Multi-Specialty Clinic/Center
- Biddeford, ME
- NPI 1215417019
O20040701000166
-
dba MaineHealth Virtual Care Virtual Quick Care
- Urgent Care Clinic/Center
- Portland, ME
- NPI 1265251540
O20040701000166
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
O20040331000351, O20040701000166
-
dba MaineHealth Behavioral Health
- Community/Behavioral Health Agency
- Portland, ME
- NPI 1265912067
O20040701000166
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Family Practice Service
- Family Medicine Physician
- Portland, ME
- NPI 1376551861
-
- Medicare Defined Swing Bed Hospital Unit
- Belfast, ME
- NPI 1184944878
-
dba MMC Family Practice Residency Program
- Family Medicine Physician
- Portland, ME
- NPI 1225232606
-
dba MaineHealth Franklin Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1245873082
-
dba MaineHealth Virtual Care Virtual Quick Care
- Urgent Care Clinic/Center
- Portland, ME
- NPI 1265251540
-
dba Safe Haven at St. Andrews Village
- Alzheimer Center (Dementia Center)
- Boothbay Harbor, ME
- NPI 1265915912
-
- Critical Access Hospital
- Portland, ME
- NPI 1285174649
-
dba MaineHealth Primary Care Family Medicine
- Rural Health Clinic/Center
- Stockton Springs, ME
- NPI 1295800118
-
dba MaineHealth Lincoln Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Damariscotta, ME
- NPI 1316035116
-
dba Stephens Memorial Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Norway, ME
- NPI 1316711971
Locations
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
Practitioners & affiliated clinicians
Practitioners 79
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.
-
- Physician Assistant
- Portland, ME
- NPI 1487377842
-
- Adult Congenital Heart Disease Physician
- Scarborough, ME
- NPI 1841551140
-
- Physician Assistant
- South Portland, ME
- NPI 1518118264
-
- Family Nurse Practitioner
- Biddeford, ME
- NPI 1831884816
-
- MOHS-Micrographic Surgery Physician
- Portland, ME
- NPI 1962821769
-
- Family Nurse Practitioner
- Portland, ME
- NPI 1407568967
-
- Hospitalist Physician
- Portland, ME
- NPI 1093275695
-
- Surgical Physician Assistant
- Scarborough, ME
- NPI 1871948810
-
- Obstetrics & Gynecology Physician
- Scarborough, ME
- NPI 1225357411
-
- Family Medicine Physician
- Saco, ME
- NPI 1154701084
-
- Surgical Physician Assistant
- Portland, ME
- NPI 1194134783
-
- Hospitalist Physician
- Portland, ME
- NPI 1689251340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1346428745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 US ROUTE 1",
"address_2": "BUILDING C",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747609",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-662-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ASSOCIATE CFO",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MMC Cardiology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MMC Cardiology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portland, ME
- Mainehealth (MaineHealth Virtual Care Virtual Quick Care)
- Mainehealth (MMC Pediatric Intensive Care Unit)
- Mainehealth (MaineHealth Behavioral Health)
- Mainehealth
- Mainehealth
- Mainehealth (MMP Surgical Care)
- Mainehealth
- Mainehealth (MMC Pediatric Urology)
- Mainehealth (Maine Medical Partners Pediatric Specialty Care)
- Mainehealth (MaineHealth Medical Group-Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.