Spectrum Healthcare Partners, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPECTRUM HEALTHCARE PARTNERS, PA

Doing business as

Spectrum Radiology South

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(207) 662-2571

NPI assigned

Jul 31, 2006

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SPECTRUM HEALTHCARE PARTNERS, PAAs reported in NPPES

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

Authorized official

Name

Daniel McCormack

Title

Ceo

Phone

(207) 482-7800

Specialties & licenses 5

Addresses

Other names 2

• Spectrum Radiology South Doing business as
• Spectrum Medical Group, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in ME, NH, MA, HI, CA, NV, CO, IN, OH, TN, NJ, KY, NC, NY, MI, PA, AZ, FL, MD, CT, MO, TX, GA, IA, IL, SC, ID, OR, VA, MN, UT, WA, NE, KS35 enrollments

Enrollment records 35

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spectrum Healthcare Partners, P.a

  dba RAYUS Radiology Portland

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

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a

  dba RAYUS Radiology Auburn

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, ME
  • NPI 1417613456

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a.

  dba Spectrum Anesthesiology

  • Anesthesiology Physician
  • Portland, ME
  • NPI 1245252212

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a.

  dba Spectrum Pathology

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

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, PA

  dba Spectrum Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, ME
  • NPI 1114505294

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, PA

  dba Spectrum Radiology North

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159

  7618871245

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spectrum Healthcare Partners, P.a.

  dba Spectrum Pathology

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

  O20040920000935, O20230801001921

  Same enrollment
• Spectrum Healthcare Partners, PA

  dba Spectrum Radiology North

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159

  O20040423000266, O20040423000305, O20040920000935, O20090825000103, O20120713000518, O20130110000136, O20130328000256, O20131011000231, O20131127001392, O20140303000978, O20150429002397, O20160216001450, O20160913000589, O20190919000111, O20

  Same enrollment
• Spectrum Healthcare Partners, P.a.

  dba Spectrum Radiology South

  • Diagnostic Radiology Physician
  • North Conway, NH
  • NPI 1144243197

  O20040920000935

  Same enrollment

Part of

Spectrum Medical Group PA

Locations

Practitioners 194

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.

• Andrew Bryce Crush, MD

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1346482460

  KY

  Medicare reassignment Care Compare group NPD
• Sheila M Hospidales, FNP-BC

  • Family Nurse Practitioner
  • Brunswick, ME
  • NPI 1003442179
  Medicare reassignment Care Compare group NPD
• Eric Jay Sax, MD

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1750364717

  MA

  Medicare reassignment Care Compare group NPD
• John Samuel Anderson, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1376607150
  Medicare reassignment Care Compare group NPD
• Ricardo Andre Declet-Bauzo, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
  • NPI 1588153647

  FL

  Medicare reassignment Care Compare group NPD
• Soo Chon Kim, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1932408358
  Medicare reassignment Care Compare group NPD
• Timur Kotlyar, M.D.

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1669850590

  ID

  Medicare reassignment Care Compare group NPD
• John Lacunza, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1235299975

  NV

  Medicare reassignment Care Compare group NPD
• Biren M. Patel, M.D.

  • Diagnostic Radiology Physician
  • Morris, IL
  • NPI 1124099064
  Medicare reassignment Care Compare group NPD
• Joshua Rosenberg, DO

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1023078987
  Medicare reassignment Care Compare group NPD
• Robert Plympton Rutter IV, D.O.

  • Diagnostic Radiology Physician
  • Camp Lejeune, NC
  • NPI 1821432972

  FL, ME

  Medicare reassignment Care Compare group NPD
• Erich Raymond Schoenman, D.O.

  • Diagnostic Radiology Physician
  • Tripler Army Medical Center, HI
  • NPI 1902244122

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1669488011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB#7810",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "844-947-4259",
            "fax_number": "302-261-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTHCARE PARTNERS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTHCARE PARTNERS, PA",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-482-7800"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Radiology South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Medical Group, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Spectrum Medical Group, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Spectrum Healthcare Partners, P.a. (Spectrum Orthopaedics)
• Spectrum Healthcare Partners, P.a. (Spectrum Pathology)
• Spectrum Healthcare Partners, PA (Spectrum Physical Therapy)
• Spectrum Healthcare Partners, PA (Spectrum Orthopaedics)
• Spectrum Healthcare Partners, PA
• Speech Therapy Associates of Maine
• Gretchen E Speed, NP
• Dustin Spencer-L'Heureux
• Andrea Claudine Spencer, LMT
• Daniel Spencer

• Diagnostic Radiology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.