Portland Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1178 Issued in ME

Legal business name

PORTLAND SURGICAL ASSOCIATES

Practice address

195 Fore River Parkway
Suite 420
Portland, ME 04102

Phone

(207) 878-3177

Fax

(207) 878-2156

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Benjamin L Russell, DONPI 1033134796

Title

Managing Partner

Phone

(207) 878-3177

Specialties & licenses 2

Addresses

Other names 1

• Dr Benjamin Russell Dr Christopher Rogers Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Lincoln Russell, DO

  • Surgery Physician
  • Portland, ME
  • NPI 1033134796
  NPD Authorized official
• Christopher David Rogers, DO

  • Surgery Physician
  • Elizabeth City, NC
  • NPI 1922023597
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1376591123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PARKWAY",
            "address_2": "SUITE 420",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-878-3177",
            "fax_number": "207-878-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PARKWAY",
            "address_2": "SUITE 420",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-878-3177",
            "fax_number": "207-878-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "207-878-3177",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "1178",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Benjamin Russell Dr Christopher Rogers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Portland Public Schools
• Portland Public Schools
• Portland Recovery Collective, LLC
• Portland Recovery Group LLC
• Portland Smiles PA
• Portland West Inc.
• Dawson Postl
• Karen Scutt Potenziano, MSW
• Kathleen Carol Potrepka, PT
• James D Potteiger, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.