Spectrum Healthcare Partners, P.a.
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Portland, ME
NPI 1386757607 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1386757607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- SPECTRUM HEALTHCARE PARTNERS, P.A.
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 482-7800
- NPI assigned
- Aug 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SPECTRUM HEATHCARE PARTNERS, P.A.
Authorized official
- Name
- Daniel McCormack
- Title
- Ceo
- Phone
- (207) 482-7800
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 5
Member organizations 2
Practitioners 398
-
Bilal R Ahmad, M.D.
-
Hagen Blaszyk, M.D.
-
Robert A Carlson, MD
-
Robert A Christman, M.D.
-
Molly Dee Cohen, DMD
-
Douglas M Dressel, M.D.
-
Cynthia A Forker, M.D.
-
Kim B Ginevan, M.D.
-
Ronald S Guibord, M.D.
-
Tarek Hammour, MD
-
Michael R. Harvey Jr., M.D.
-
Michael A Jones, M.D.
-
Diane Marie Kidric, D.O., J.D.
-
Brian C. Klazynski, M.D
-
William K Lambie, M.D.
-
Emily Ek Meserve, MD, MPH
-
Victoria Parker, DO
-
Sonja Tomic, M.D.
-
Diana Weedman Molavi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ME, NH, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040712000376 | ME | Part B Supplier - Clinic/Group Practice | 7618871245 |
Receives reassigned benefits from 29 practitioners Practice locations: Westbrook, ME; York, ME; South Portland, ME; Scarborough, ME; Sanford, ME; Rumford, ME; Portland, ME; Lewiston, ME… |
| O20040920000935 | NH | Part B Supplier - Clinic/Group Practice | 7618871245 |
Receives reassigned benefits from 79 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Raymond, NH; Portsmouth, NH; North Conway, NH; Newfields, NH; Exeter, NH; Hampton, NH; Durham, NH |
| O20110312000005 | ME | Part B Supplier - Clinic/Group Practice | 7618871245 |
Receives reassigned benefits from 29 practitioners Practice locations: Bridgton, ME; Belfast, ME; Rumford, ME; Norway, ME; Lewiston, ME; Farmington, ME; Falmouth, ME |
| O20230801001921 | SC | Part B Supplier - Clinic/Group Practice | 7618871245 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Charleston, SC; Greenville, SC; North Charleston, SC |
National Provider Directory
- Tax ID family
- Spectrum Healthcare Partners PA
- Part of
- Spectrum Healthcare Partners PA
Locations
1255 Nuuanu Ave
Honolulu, HI 96817
1860 Ala Moana Blvd
Honolulu, HI 96815
Phone (808) 943-1111
791 Turner St
Auburn, ME 04210
Phone (207) 558-0085
600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333
297 Center St
Bangor, ME 04401
Phone (207) 262-1841
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
900 Broadway
Bangor, ME 04401
Phone (207) 907-3300
175 Congress Ave
Bath, ME 04530
Phone (207) 386-5656
46 Barra Rd
Biddeford, ME 04005
Phone (207) 282-3349
74 Baribeau Dr
Brunswick, ME 04011
Phone (207) 798-4050
50 Union St
#2100
Ellsworth, ME 04605
Phone (207) 664-5770
107 Box Shop Hl
Farmington, ME 04938
Phone (207) 783-1328
193 Main St
Ste 17
Norway, ME 04268
Phone (207) 743-5366
84 Marginal Way
Ste 1000
Portland, ME 04101
Phone (207) 347-2898
195 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6920
260 Main St
Presque Isle, ME 04769
Phone (207) 764-6121
33 Gorham Rd
Scarborough, ME 04074
Phone (207) 883-3803
102 Campus Dr
#118
Scarborough, ME 04074
Phone (207) 885-2843
100 Campus Dr
Unit 101
Scarborough, ME 04074
Phone (207) 396-7294
119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040
100 Foden Rd
Ste E-101
South Portland, ME 04106
Phone (207) 523-3620
105 Topsham Fair Mall Rd
Topsham, ME 04086
Phone (207) 295-8090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician |
207ZB0001X | |||
| Cytopathology Physician |
207ZC0500X | |||
| Dermatopathology (Pathology) Physician |
207ZD0900X | |||
| Forensic Pathology Physician |
207ZF0201X | |||
| Hematology (Pathology) Physician |
207ZH0000X | |||
| Immunopathology Physician |
207ZI0100X | |||
| Medical Microbiology Physician |
207ZM0300X | |||
| Neuropathology Physician |
207ZN0500X | |||
| Molecular Genetic Pathology (Pathology) Physician |
207ZP0007X | |||
| Anatomic Pathology Physician |
207ZP0101X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes | ||
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | |||
| Pediatric Pathology Physician |
207ZP0213X |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
PO Box 95000 LB#7810
Philadelphia, PA 19195-0001
Phone (844) 947-4259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386757607 | Medicaid | ME |
Other names
- Spectrum Pathology
Other providers in Portland, ME
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All providers in Portland, ME · Anatomic Pathology & Clinical Pathology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.