Southern Maine Foot and Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD1031 Issued in ME

Legal business name

SOUTHERN MAINE FOOT AND ANKLE PA

Practice address

25 Plaza Dr
Suite 9
Scarborough, ME 04074-6900

Phone

(207) 883-0865

Fax

(207) 883-0913

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Peter T Ocampo, DPM

Title

President

Phone

(207) 883-0865

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17696/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1417020041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PLAZA DR",
            "address_2": "SUITE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746900",
            "telephone_number": "207-883-0865",
            "fax_number": "207-883-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PLAZA DR",
            "address_2": "SUITE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746900",
            "telephone_number": "207-883-0865",
            "fax_number": "207-883-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-883-0865",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary-Ellen Souliere, FNP
• Emmanuel Nicholas Soultanakis, MD
• Sound Solutions Therapy, Inc.
• Sound Support LLC
• Alicia Mae Sousa, FNP-C
• Southern Maine Psychotherapy LLC
• Omar Sowamrah
• David J. Spach, PA-C
• Paula Spanos, NP
• Stephanie Vasile Sparda

• Foot & Ankle Surgery Podiatrist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.