Andrew C Mancall, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD14992 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(207) 662-2571

NPI assigned

Nov 15, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Caribou

  dba Cary Medical Center

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Medicare reassignment NPD
• Spectrum Healthcare Partners, P.a

  dba RAYUS Radiology Portland

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Westbrook, ME
  • NPI 1023619939

  Diagnostic Radiology

  Medicare reassignment NPD
• Spectrum Healthcare Partners, P.a

  dba RAYUS Radiology Auburn

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, ME
  • NPI 1417613456
  Medicare reassignment NPD
• Insight-Premier Health LLC

  dba RAYUS Radiology Brunswick

  • Diagnostic Radiology Physician
  • Scarborough, ME
  • NPI 1710942875
  NPD
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1447322375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCALL",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Malone, PA-C
• Heather Lynn Maloney, CADC
• Sarah Pond Maloney, LCSW
• Alyson Maloy, MD
• Kathryn Turpin Manahan, LMSW-CC
• Dana Elizabeth Manel Jarvis, LCSW
• Giovannina Marie Mangini
• Joseph F Mangone, DDS
• Mahendra Mangray, MD
• Charity Maniates, MSPH, MPH, PAC

• Diagnostic Radiology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.