City of Portland Maine

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

Legal business name

CITY OF PORTLAND MAINE

Practice address

103 India St
Portland, ME 04101-4211

Phone

(207) 874-8446

Fax

(207) 756-8087

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Jon P. Jennings

Title

City Manager

Phone

(207) 874-8944

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Portland

  • Land Ambulance
  • Portland, ME
  • NPI 1134185648

  Member Of

  NPD member

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1437485117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CONGRESS ST",
            "address_2": "ROOM 307",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013566",
            "telephone_number": "207-874-8784",
            "fax_number": "207-874-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014211",
            "telephone_number": "207-874-8446",
            "fax_number": "207-756-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "207-874-8944"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Portland
• City of Portland
• City of Portland
• City of Portland
• City of Portland HHS, PHD
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine

• Allergy & Immunology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Allergy & Immunology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.