Portland Gastroenterology Associates P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PORTLAND GASTROENTEROLOGY ASSOCIATES P.A.

Practice address

161 Marginal Way
Portland, ME 04101

Phone

(207) 773-7964

Fax

(207) 773-9073

NPI assigned

May 1, 2007

Last updated

Feb 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Gousse

Title

Practice Administrator

Phone

(207) 773-7964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noemi Baffy, MD

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1164710075
  Medicare reassignment Care Compare group NPD
• Fernando Herbert Calmet, M.D.

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1659690956
  Medicare reassignment Care Compare group NPD
• Melanie F Connors, FNP

  • Family Nurse Practitioner
  • Portland, ME
  • NPI 1497881833
  Medicare reassignment Care Compare group NPD
• Vicki L. Cook, NP-C

  • Nurse Practitioner
  • Portland, ME
  • NPI 1548820384
  Medicare reassignment Care Compare group NPD
• Joshua A Goldman, M.D.

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1558396523
  Medicare reassignment Care Compare group NPD
• Matthew Drew Grunwald, M.D.

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1689061954
  Medicare reassignment Care Compare group NPD
• Bryan Hayes

  • Family Nurse Practitioner
  • Portland, ME
  • NPI 1679958946
  Medicare reassignment Care Compare group NPD
• Elizabeth Hessler, NP

  • Nurse Practitioner
  • Portland, ME
  • NPI 1982156618
  Medicare reassignment Care Compare group NPD
• Tara K Hieger, NP

  • Nurse Practitioner
  • Portland, ME
  • NPI 1679681456
  Medicare reassignment Care Compare group NPD
• Kate Forssell Kennedy, MD

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1134325806
  Medicare reassignment Care Compare group NPD
• London C Leland, ANP

  • Acute Care Nurse Practitioner
  • Portland, ME
  • NPI 1962656827
  Medicare reassignment Care Compare group NPD
• Leeanne S Mather, APRN

  • Family Nurse Practitioner
  • Portland, ME
  • NPI 1669722013
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1508087289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012438",
            "telephone_number": "207-773-7964",
            "fax_number": "207-773-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-773-7964",
            "fax_number": "207-773-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND GASTROENTEROLOGY ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "GOUSSE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-773-7964"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Dental Health Care
• Portland Disc Center PLLC (Absolute Health Chiropractic and Massage)
• Portland Endoscopy Center
• Portland Family Dental
• Portland Foot & Ankle, PA
• Portland Housing Authority
• Portland Humanistic Therapy LLC
• Portland Institute for Psychotherapy and Training, LLC (WellSpace Maine)
• Portland North Dental Associates, P.a.
• Portland Opioid Health Home

• Gastroenterology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.