NPIMap

Organization Active NPI

Maine Center for Lipids & Cardiovascular Health LLC

  • Specialist
  • Scarborough, ME
National Provider Identifier
1356420400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01007 Issued in ME
Legal business name
MAINE CENTER FOR LIPIDS & CARDIOVASCULAR HEALTH LLC
Practice address
96 Campus Dr
Suite 2a
Scarborough, ME 04074-7133
Phone
(207) 885-8777
Fax
(207) 885-8770
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonard Mark Keilson, MD
Title
President
Phone
(207) 885-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01007 ME Primary

Addresses

Primary practice location

96 Campus Dr
Suite 2a
Scarborough, ME 04074-7133

Mailing address

96 Campus Dr
Suite 2a
Scarborough, ME 04074-7133
Phone (207) 885-8777

National Provider Directory

National Provider Directory

Locations

96 Campus Dr
Ste 2A
Scarborough, ME 04074
Phone (207) 885-8775

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356420400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "address_2": "SUITE 2A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747133",
            "telephone_number": "207-885-8777",
            "fax_number": "207-885-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "address_2": "SUITE 2A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747133",
            "telephone_number": "207-885-8777",
            "fax_number": "207-885-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE CENTER FOR LIPIDS & CARDIOVASCULAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEILSON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-885-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "01007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.