Active NPI
Maine Integrative Family Care
- Family Medicine Physician
- South Portland, ME
National Provider Identifier
1447520366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MAINE INTEGRATIVE FAMILY CARE
- Practice address
- 144 Thadeus St.
Suite 1
South Portland, ME 04106 - Phone
- (207) 544-9800
- Fax
- (207) 544-9900
- NPI assigned
- Jan 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin P Hagopian, M.D.
- Title
- Ceo, Direct Owner
- Phone
- (207) 544-9800
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2150 | ME | |
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X | 2142 | ME |
Addresses
Primary practice location
144 Thadeus St.
Suite 1
South Portland, ME 04106
Mailing address
144 Thadeus St.
Suite 1
South Portland, ME 04106
Phone (207) 544-9800
Other names 1
- Maine Integrative Healthcare
National Provider Directory
National Provider DirectoryLocations
47 Water St
Ste 104
Hallowell, ME 04347
Phone (207) 512-8633
144 Thadeus St
Ste 1
South Portland, ME 04106
Phone (207) 544-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1447520366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 THADEUS ST.",
"address_2": "SUITE 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-544-9800",
"fax_number": "207-544-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 THADEUS ST.",
"address_2": "SUITE 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-544-9800",
"fax_number": "207-544-9900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE INTEGRATIVE FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-10",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "HAGOPIAN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO, DIRECT OWNER",
"authorized_official_telephone_number": "207-544-9800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ME",
"license": "2150",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "ME",
"license": "2142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maine Integrative Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Maine Integrative Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.