NPIMap

Organization Active NPI

Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
National Provider Identifier
1346687167
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MAINE MEDICAL PARTNERS
Practice address
92 Campus Drive
3Rd Floor
Scarborough, ME 04074
Phone
(207) 774-6368
Fax
(207) 774-9388
NPI assigned
Jun 3, 2013
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Donna Jauregui
Title
Dir-Prvdr Enrollment & Cvo, MHMG PA
Phone
(207) 661-5414

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Hematology & Oncology Physician 207RH0003X NU
Surgery Physician 208600000X NU Primary
Colon & Rectal Surgery Physician 208C00000X NU

Addresses

Primary practice location

92 Campus Drive
3Rd Floor
Scarborough, ME 04074

Mailing address

300 Southborough Dr
South Portland, ME 04106-6914
Phone (207) 661-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius HealthCare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040525000396 ME Part B Supplier - Clinic/Group Practice 9335043967 Receives reassigned benefits from 360 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, ME; Windham, ME; South Portland, ME; Scarborough, ME; Sanford, ME; Lewiston, ME; Falmouth, ME; Biddeford, 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 42

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 42

National Provider Directory

National Provider Directory

Locations (25 of 27)

26 W Cole Rd
Ste 102
Biddeford, ME 04005
Phone (207) 294-5800

30 W Cole Rd
Biddeford, ME 04005
Phone (207) 282-3349

6 Wellspring Rd
Biddeford, ME 04005
Phone (207) 283-1752

92 US Route 1
Cumberland Foreside, ME 04110
Phone (207) 781-2408

3 East St
Freeport, ME 04032
Phone (207) 594-4990

347 Main St
#C
Gorham, ME 04038
Phone (207) 839-2521

1577 Congress St
Portland, ME 04102
Phone (207) 662-1622

22 Bramhall St
#1203
Portland, ME 04102
Phone (207) 662-4618

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

887 Congress St
#410B
Portland, ME 04102
Phone (207) 662-5522

887 Congress St
Ste 400
Portland, ME 04102
Phone (207) 774-6368

25 June St
Ofc
Sanford, ME 04073
Phone (207) 324-4310

102 Campus Dr
Unit 116
Scarborough, ME 04074
Phone (207) 883-0069

49 Spring St
#1
Scarborough, ME 04074
Phone (207) 885-0011

49 Spring St
#2
Scarborough, ME 04074
Phone (207) 883-1414

92 Campus Dr
Fl 1
Scarborough, ME 04074
Phone (207) 885-0011

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

96 Campus Dr
Ste 2C
Scarborough, ME 04074
Phone (207) 883-7926

100 Brickhill Ave
Ste 203
South Portland, ME 04106
Phone (207) 522-7482

265 Western Ave
Ste 1
South Portland, ME 04106
Phone (207) 661-0100

265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200

778 Main St
Ste 2
South Portland, ME 04106
Phone (207) 775-1255

111 Ossipee Trl E
Ste 1
Standish, ME 04084
Phone (207) 661-4850

244 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3355

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

Practitioners & affiliated clinicians

Practitioners 1,305

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.

View all 1,305

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1346687167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHBOROUGH DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066914",
            "telephone_number": "207-661-2000",
            "fax_number": "207-661-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DRIVE",
            "address_2": "3RD FLOOR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-774-6368",
            "fax_number": "207-774-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIR-PRVDR ENROLLMENT & CVO, MHMG PA",
        "authorized_official_telephone_number": "207-661-5414"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius HealthCare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.

Verify at the official NPI Registry.