Active NPI
Mark D Cousineau, MD
- Emergency Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- EC-05-081
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-7050
- Fax
- (207) 662-7054
- NPI assigned
- Oct 18, 2006
- Last updated
- Mar 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 59926 | KY | |
| Emergency Medicine Physician | 207P00000X | EC-05-081 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490446404A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, NC, VA, WV, AR, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 278-2105
1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571
175 Hospital Dr
Winchester, KY 40391-9591
Phone (859) 745-3500
1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59926 | KY | MD | Emergency Medicine Physician |
| EC-05-081 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Montgomery Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- mark.cousineau.1@26499.direct.athenahealth.com
- markcousineau@arh.medalliesdirect.net
Organizations & group practices 9
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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, GA, NC, VA
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, NC, TN
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
-
dba Wilson Medical Center
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
-
dba Wilson Medical Center
- Psychiatric Hospital Unit
- Wilson, NC
- NPI 1386196459
-
dba St . Mary's Regional Medical Center
- General Acute Care Hospital
- Russellville, AR
- NPI 1033160049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1477634335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-7050",
"fax_number": "207-662-7054"
},
{
"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": "207-662-7050",
"fax_number": "207-662-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINEAU",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "59926",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "EC-05-081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490446404A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.
- 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.