Organization Active NPI

Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1669488011
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SPECTRUM HEALTHCARE PARTNERS, PA
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2571
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization
SPECTRUM HEALTHCARE PARTNERS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

PO Box 95000 LB#7810
Philadelphia, PA 19195-0001
Phone (844) 947-4259

Other identifiers 1

IdentifierTypeStateIssuer
1669488011MedicaidME

Other names 2

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
O20040423000266 ME Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 59 practitioners
2 other NPIs on this enrollment
O20040423000305 ME Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 63 practitioners
1 other NPI on this enrollment
O20040920000935 NH Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 79 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Raymond, NH; Portsmouth, NH; North Conway, NH; Newfields, NH; Exeter, NH; Hampton, NH; Durham, NH
O20090825000103 MA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Alford, MA; Westford, MA; Scituate, MA; Needham, MA; Franklin, MA; Boston, MA; Arlington, MA
O20120713000518 HI Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Kailua, HI; Kihei, HI
O20130110000136 CA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Upland, CA; Tarzana, CA; San Rafael, CA; Sacramento, CA; Orange, CA; Oceanside, CA; Irvine, CA; Menlo Park, CA…
O20130328000256 NV Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV; Reno, NV
O20131011000231 CO Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boulder, CO; Castle Pines, CO; Colorado Springs, CO; Monument, CO
O20131127001392 IN Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Wayne, IN; Kokomo, IN; Linton, IN; Newburgh, IN; Norton, IN; Roanoke, IN; Rochester, IN; Wabash, IN…
O20140303000978 OH Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Ottawa Hills, OH; Plain City, OH; Bexley, OH
O20150429002397 TN Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Beech Bluff, TN
O20160216001450 NJ Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Engelwood Cliffs, NJ; Linwood, NJ; Mullica Hill, NJ; Skillman, NJ
O20160913000589 KY Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Louisville, KY; Simpsonville, KY
O20190919000111 NC Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Chapel Hill, NC; Raleigh, NC; Lenoir, NC; Burlington, NC
O20200504001618 NY Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northport, NY; New York, NY; Averill Park, NY; Delmar, NY
O20200511000902 MI Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brighton, MI; Farmington Hills, MI; Marquette, MI; Midland, MI; Rochester Hills, MI; Troy, MI; Birmingham, MI
O20200514000149 PA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Philadelphia, PA; Washington Crossing, PA; Newtown Square, PA
O20200701000756 AZ Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Paradise Valley, AZ; Prescott, AZ; Rio Verde, AZ; Scottsdale, AZ; Tempe, AZ; Tucson, AZ; Flagstaff, AZ
O20201022001738 FL Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Miami, FL; Naples, FL; Sarasota, FL; Seminole, FL; Stuart, FL; Tallahassee, FL; Tampa, FL; Vero Beach, FL…
O20201210002946 MD Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Airy, MD; Towson, MD
O20210223000947 CT Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Canton, CT; Greenwich, CT; Killingworth, CT; New Canaan, CT
O20220421002016 MO Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bolivar, MO; Saint Louis, MO; St Charles, MO
O20230220000855 TX Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyler, TX; Pearland, TX; Flower Mound, TX; Houston, TX; Frisco, TX; Dripping Springs, TX; Dallas, TX
O20230317002548 GA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Brookhaven, GA; Savannah, GA
O20230403000696 IA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dubuque, IA; Marion, IA; North Liberty, IA
O20230524001192 IL Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Chicago, IL; Naperville, IL
O20230801001921 SC Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; Greenville, SC; North Charleston, SC
O20250221000742 ID Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Boise, ID
O20250328002905 OR Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Lake Oswego, OR
O20251215002413 VA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Aldie, VA; Virginia Beach, VA; Williamsburg, VA
O20251231003654 MN Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: North Oaks, MN; Hugo, MN
O20260409001401 UT Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20260409003183 WA Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 4 practitioners
Practice locations: Redmond, WA; Mukilteo, WA; Lacey, WA; Friday Harbor, WA
O20260416002648 NE Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NE
O20260611003673 KS Part B Supplier - Clinic/Group Practice 7618871245 Receives reassigned benefits from 3 practitioners
Practice locations: Augusta, KS; Hutchinson, KS; Prairie Village, KS

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Spectrum Healthcare Partners PA

Locations

900 Fort Street Mall
Ste 1202
Honolulu, HI 96813

915 Union St
Ste 4
Bangor, ME 04401
Phone (207) 973-8030

900 Broadway
#2900
Bangor, ME 04401

329 Maine St
Ste A
Brunswick, ME 04011
Phone (207) 319-1847

575 Main St
Ste 101
Gorham, ME 04038

77 Bates St
Ste 102
Lewiston, ME 04240
Phone (207) 783-2300

200 Somerset St
Ste 3
Millinocket, ME 04462
Phone (207) 723-3329

355 Brighton Ave
Unit 201
Portland, ME 04102

480 Congress St
Portland, ME 04101
Phone (207) 772-9661

33 Sewall St
Ofc
Portland, ME 04102
Phone (207) 956-6650

33 Sewall St
Ste 101
Portland, ME 04102

22 Bramhall St
#P2A
Portland, ME 04102

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

300 Professional Dr
Ste 2C
Scarborough, ME 04074
Phone (207) 883-7926

71 US Route 1
Scarborough, ME 04074
Phone (207) 773-9931

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

324 Gannett Dr
South Portland, ME 04106

100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

11 Rock Row
Ste 2A
Westbrook, ME 04092
Phone (207) 289-3001

1 Hampton Rd
Unit 208
Exeter, NH 03833
Phone (603) 431-5205

2 Beacon St E
Ste 199
Laconia, NH 03246

3053 Main St
North Conway, NH 03860

1210 Briarville Rd
Ste 602
Madison, TN 37115

Practitioners & affiliated clinicians

Practitioners 388

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 388

NPI Registry JSON

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669488011",
            "state": "ME"
        }
    ],
    "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"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • 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.