Maria G Ikossi MD PHD Facs

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

012822 Issued in ME

Legal business name

MARIA G IKOSSI MD PHD FACS

Practice address

10 High St
Suite 303
Lewiston, ME 04240

Phone

(207) 782-5424

Fax

(207) 782-1136

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Maria G Ikossi, MD PHD FACSNPI 1922184613

Title

Ceo

Phone

(207) 782-5424

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Maria G Ikossi, MD

  • Surgery Physician
  • Lewiston, ME
  • NPI 1922184613
  NPD (past) Authorized official

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": "1396823662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 303",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-782-5424",
            "fax_number": "207-782-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 303",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-782-5424",
            "fax_number": "207-782-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA G IKOSSI MD PHD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IKOSSI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-782-5424",
        "authorized_official_credential": "MD PHD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "012822",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C52151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Sangalang
• Tammy Scribner Maranda, RPH, PHARMD
• Stephen Marcil
• James Marcoux, CRNA
• Jordan Patrick Maresh, MD
• Sheena Marichal-Carrier, DPT
• Dylan Joseph Markey, MD
• Rosanne S Marquis, NP
• Jane Marsh
• Richard Marsh

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

• 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.