Christian Scott Cumback, BOCO
Individual provider Active NPI Orthotist · Scarborough, ME
NPI 1629956438 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1629956438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotist 222Z00000X
- License
- C50262 (MD)
- Practice address
- 154 Holmes Rd.
Scarborough, ME 04074 - Phone
- (207) 332-8930
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50262 | MD | MD | Orthotist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C50262 | MD | Yes |
Addresses
Primary practice location
154 Holmes Rd.
Scarborough, ME 04074
Mailing address
154 Holmes Rd.
Scarborough, ME 04074
Phone (207) 331-2703
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.