Family Health Center of Southern Maine, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

917 Issued in ME

Legal business name

FAMILY HEALTH CENTER OF SOUTHERN MAINE, P.A.

Practice address

778 Main St
Suite #1
South Portland, ME 04106-5447

Phone

(207) 775-7758

Fax

(207) 879-7758

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Edward Kazilionis, D.O.

Title

President

Phone

(207) 775-7758

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Donna Lynne Zamrin, D.O.

  • Family Medicine Physician
  • Windham, ME
  • NPI 1912046731
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477692010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 MAIN ST",
            "address_2": "SUITE #1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065447",
            "telephone_number": "207-775-7758",
            "fax_number": "207-879-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MAIN ST",
            "address_2": "SUITE #1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065447",
            "telephone_number": "207-775-7758",
            "fax_number": "207-879-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF SOUTHERN MAINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZILIONIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-775-7758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "041126",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2541034",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M197320",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evolve Psychiatry and Counseling PLLC
• Eyeconic Vision Care, PA
• Eyemart Express LLC
• Eyemart Express LTD
• Family Community Care LLC
• Shannon Belinda Farr, OD
• Andrew Farrell
• Cassandra Marie Farrell, DO
• Farside Counseling, LLC
• Elizabeth A Faulkner, LMSW

• Family Medicine Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.