Julien Wonderlick, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD22399 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102

Phone

(207) 662-0111

NPI assigned

Mar 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Radiology

Education

Tufts University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
• Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
• St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
• Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Healthcare Partners, P.a

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Westbrook, ME
  • NPI 1023619939

  Diagnostic Radiology

  Medicare reassignment NPD
• Spectrum Healthcare Partners, P.a

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, ME
  • NPI 1417613456
  Medicare reassignment NPD
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1669488011
  Medicare reassignment NPD
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159

  NH

  Medicare reassignment NPD
• Insight-Premier Health LLC

  • Diagnostic Radiology Physician
  • Scarborough, ME
  • NPI 1710942875
  NPD
• Spectrum Healthcare Partners, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mainehealth

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  Hospital

  Care Compare affiliation
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024
  Care Compare affiliation
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  Hospital

  Care Compare affiliation
• Mainehealth

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157

  Hospital

  Care Compare affiliation
• Mainehealth

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1346267879
  Care Compare affiliation
• Mainehealth

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
  • NPI 1356651038

  Hospital

  Care Compare affiliation
• Mainehealth

  • Surgery Physician
  • Portland, ME
  • NPI 1376981993

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Urology Physician
  • Portland, ME
  • NPI 1457540486

  Hospital

  Care Compare affiliation
• Mainehealth

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1477850592

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1588930465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022603",
            "country_code": "US",
            "telephone_number": "207-956-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONDERLICK",
        "first_name": "JULIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD22399",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ME",
            "license": "MD22399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588930465",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Adrienne Wolf, CRNA
• Sarah Wolf, D.PT
• Brandon Michael Wolfe, DO
• Renee S Wolff, MD
• Stephen Wolff
• Jaclyn Wong, MD
• Joanna Wong, MD
• Shannon Wong, LMT
• Michael James Wons, DO
• Allison Liberty Wood, MD

• Vascular & Interventional Radiology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Vascular & Interventional Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.