Organization Active NPI

Maine Integrative Family Care

  • Family Medicine Physician
  • South Portland, ME
National Provider Identifier
1447520366
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 17, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2150 ME
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.