Central Maine Orthopaedics Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

36418 Issued in ME

Legal business name

CENTRAL MAINE ORTHOPAEDICS AMBULATORY SURGERY CENTER

Practice address

690 Minot Ave
Suite One
Auburn, ME 04210-3922

Phone

(207) 783-1315

Fax

(207) 786-3576

NPI assigned

Feb 27, 2007

Last updated

Oct 7, 2011By 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

Matthew Donald Bush, MD

Title

Physician/President

Phone

(207) 783-1328

Specialties & licenses 4

Addresses

Other identifiers 2

Tax ID family

Central Maine Orthopaedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Maine Orthopaedics

  • Orthopaedic Surgery Physician
  • Auburn, ME
  • NPI 1922437425
  NPD tax ID

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.

• Nathan B Haynes, PA-C

  • Surgical Physician Assistant
  • Portland, ME
  • NPI 1598755258
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1578690848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MINOT AVE",
            "address_2": "SUITE ONE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103922",
            "telephone_number": "207-783-1315",
            "fax_number": "207-786-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MINOT AVE",
            "address_2": "SUITE ONE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103922",
            "telephone_number": "207-783-1315",
            "fax_number": "207-786-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE ORTHOPAEDICS AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "207-783-1328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ME",
            "license": "36418",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "116640200",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MM0716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Maine Magnetic Imaging Associates (CMIC MRI-Auburn)
• Central Maine Medical Center (CMMC Urgent Care)
• Central Maine Medical Center (Central Maine Healthcare Surgery Center)
• Central Maine Oral & Maxillofacial Surgery Associates, PA
• Central Maine Orthopaedics
• Central Maine Orthopaedics Ambulatory Surgery Center, LLC
• Central Maine Orthopaedics, P.a.
• Central Maine Osteopathic Manual Medicine, LLC
• Central Maine Pulmonary Associates
• Central Maine Residential Care LLC

• Ambulatory Surgical Clinic/Center in Auburn, ME
• Providers in Auburn, ME by specialty
• Ambulatory Surgical Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.