Casco Bay Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CASCO BAY GASTROENTEROLOGY LLC

Practice address

195 Fore River Pkwy Ste 490
Portland, ME 04102-2779

Phone

(207) 999-9999

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Christine Marie Daigle, CCP

Title

Billing/Credentialing Manager

Phone

(207) 879-8989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1619138401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062440",
            "telephone_number": "207-879-0094",
            "fax_number": "207-879-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY STE 490",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022779",
            "telephone_number": "207-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "207-879-8989",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casa, Inc.
• Laura Chase Casale, CRNA
• Casco Bay Community Support Services
• Casco Bay Eye Care LLC
• Casco Bay Eyecare LLC
• Casco Bay Medical PLLC
• Casco Bay Recovery
• Casco Bay Rehabilitation, PA
• Casco Bay Substance Abuse Resource Center
• Casco Bay Surgery, PA

• 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 Jun 24, 2008; 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.