Maxwell, Kluger and Makaretz ENT Assoc M.D.P.a

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

MAXWELL, KLUGER AND MAKARETZ ENT ASSOC M.D.P.A

Practice address

43 Baxter Blvd
Portland, ME 04101-1823

Phone

(207) 775-1524

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Debra J Ferrante, CPC

Title

Billing Manager

Phone

(207) 775-1524

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558381863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011823",
            "telephone_number": "207-775-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011823",
            "telephone_number": "207-775-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL, KLUGER AND MAKARETZ ENT ASSOC M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRANTE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-775-1524",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR KLUGER INDIV ANTHEM #",
            "identifier": "002412",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MAXWELL INDIV ANTHEM #",
            "identifier": "002415",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MAKARETZ ANTHEM INDIV",
            "identifier": "027846",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR FRIBERG INDIV ANTHEM #",
            "identifier": "040924",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE GROUP #",
            "identifier": "M2990",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxim Healthcare Services, Inc.
• Hilary Anne Maxim, AU.D.
• Maximum Care of Maine LLC
• Katherine Maxsimic
• Jeffrey Conner Maxwell, DO
• David William May, LCSW
• Maegan Maybach, DPT
• Glenn Andrew Mayer, LCPC, CCS
• Thalia Mayes, M.D.
• Amy Marie Mayhew, MD

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Portland, ME
• Providers in Portland, ME by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) 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.