Organization Active NPI

Progressive Medical Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1568615649
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
017608 Issued in ME
Legal business name
PROGRESSIVE MEDICAL CARE LLC
Practice address
335 Brighton Ave
Portland, ME 04102-2363
Phone
(207) 899-3680
Fax
(207) 899-3680
NPI assigned
Nov 3, 2008
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Mrs. Tehseen Naqvi, MDNPI 1407965056
Title
Owner
Phone
(207) 899-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 017608 ME Primary

Addresses

Primary practice location

335 Brighton Ave
Portland, ME 04102-2363

Mailing address

53 Johnson Rd
Falmouth, ME 04105-1408
Phone (207) 899-3680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1568615649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 JOHNSON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051408",
            "telephone_number": "207-899-3680",
            "fax_number": "207-899-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022363",
            "telephone_number": "207-899-3680",
            "fax_number": "207-899-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "TEHSEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-899-3680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "017608",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 9, 2009; 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.