Maine Comprehensive Pain Management, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MAINE COMPREHENSIVE PAIN MANAGEMENT, PC

Practice address

400 Enterprise Dr Ste 101
Scarborough, ME 04074-7662

Phone

(207) 289-6726

Fax

(207) 289-1219

NPI assigned

Oct 14, 2018

Organization subpart

No

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

Authorized official

Name

Terence Kernan Gray, DONPI 1588604698

Title

President

Phone

(860) 944-4708

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18448/brand/1/csg/1/fhir/r4

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terence Gray, DO

  • Specialist
  • Scarborough, ME
  • NPI 1588604698

  ME

  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Strout, NP

  • Family Nurse Practitioner
  • Portland, ME
  • NPI 1285020339

  ME

  Medicare reassignment Care Compare group NPD
• Lillian R Mandl, APRN

  • Nurse Practitioner
  • Scarborough, ME
  • NPI 1962437152

  ME

  Medicare reassignment NPD
• Stefanie Lynn Warren, FNP

  • Family Nurse Practitioner
  • Scarborough, ME
  • NPI 1104488410

  ME

  Medicare reassignment NPD
• Laurie Cloutier, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1114277563
  NPD (past)
• Hannah K Hays, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1750714978
  NPD (past)
• Philomena Herrick, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1417302910
  NPD (past)
• Sarah Littlefield, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1891102596
  NPD (past)
• Julia Losciuto, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1891335402
  NPD (past)
• Fiona Markley, LMT

  • Massage Therapist
  • South Portland, ME
  • NPI 1598055576
  NPD (past)
• Jennifer Jacques McBride, D.C.

  • Chiropractor
  • South Portland, ME
  • NPI 1255438602
  NPD (past)
• Gary W Smart, DC

  • Chiropractor
  • South Portland, ME
  • NPI 1790747046
  NPD (past)

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1467928705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR STE 101",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747662",
            "telephone_number": "207-289-6726",
            "fax_number": "207-289-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR STE 101",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747662",
            "telephone_number": "207-289-6726",
            "fax_number": "207-289-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE COMPREHENSIVE PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-14",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "KERNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-944-4708",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helia Maghzi, MD
• Christine Elizabeth Maguire, D.C.
• Stacy Anne Maguire, OTRL
• Maine Center for Lipids & Cardiovascular Health LLC
• Maine Center of Cancer Medicine & Blood Disorders
• Maine Ear Nose & Throat Center LLC
• Maine Home Care Solutions
• Maine Life Care Retirement Community
• Maine Life Care Retirement Community, Inc.
• Maine Medical Partners

• All providers in Scarborough, ME
• Medical Specialty Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.