Rajaie George Hazboun, M.D., M.B.A

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD30540 Issued in ME

Practice address

1685 Congress St Ste 301
Portland, ME 04102-2172

Phone

(207) 213-1867

NPI assigned

Jun 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1396158648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 CONGRESS ST STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022172",
            "telephone_number": "207-213-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CONGRESS ST STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022172",
            "telephone_number": "207-213-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZBOUN",
        "first_name": "RAJAIE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A143928",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A143928",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "ME",
            "license": "MD30540",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD30540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Haynes, RD
• Nathan B Haynes, PA-C
• Anne S Hayton, M.D.
• Kathleen Waldron Hayward, LCPC-C
• Samuel Emerson Hazard, PA-C
• Thomas M Hazel, RN
• Gordon Loughlin Hazen, PA
• Head and Neck Surgical Associates
• Head and Neck Surgical Associates, PA
• Head Games Inc

• Plastic and Reconstructive Surgery Physician in Portland, ME
• Providers in Portland, ME by specialty
• Plastic and Reconstructive Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.