Active NPI
Elaine Marie Secskas, MD
- Obstetrics & Gynecology Physician
- Brunswick, ME
National Provider Identifier
1467598938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 011741
- Practice address
- 121 Medical Center Dr
Suite 2700
Brunswick, ME 04011-2653 - Phone
- (207) 721-8700
- Fax
- (207) 721-8715
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 011741 | ME | Primary |
Addresses
Primary practice location
121 Medical Center Dr
Suite 2700
Brunswick, ME 04011-2653
Mailing address
121 Medical Center Dr
Suite 2700
Brunswick, ME 04011-2653
Phone (207) 721-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102140000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011741 | ME | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1467598938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2700",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8700",
"fax_number": "207-721-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2700",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8700",
"fax_number": "207-721-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECSKAS",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "011741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102140000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.