Active NPI
Spectrum Healthcare Partners, PA
- Diagnostic Radiology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669488011 | Medicaid | ME |
Other names 2
- Spectrum Radiology South
- Spectrum Medical Group, PA
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, KS
Enrollment records 35
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Westbrook, ME
- NPI 1023619939
7618871245
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Auburn, ME
- NPI 1417613456
7618871245
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
7618871245
-
- Physical Therapy Clinic/Center
- Portland, ME
- NPI 1114505294
7618871245
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
7618871245
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
O20040920000935, O20230801001921
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
O20040423000266, O20040423000305, O20040920000935, O20090825000103, O20120713000518, O20130110000136, O20130328000256, O20131011000231, O20131127001392, O20140303000978, O20150429002397, O20160216001450, O20160913000589, O20190919000111, O20
-
- Diagnostic Radiology Physician
- North Conway, NH
- NPI 1144243197
O20040920000935
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.
-
- Vascular & Interventional Radiology Physician
- Portland, ME
- NPI 1407292568
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1457665473
Diagnostic Radiology, ME
-
- Radiation Oncology Physician
- Portland, ME
- NPI 1073908505
ME, Radiation Oncology
-
- Radiation Oncology Physician
- Portland, ME
- NPI 1326363714
ME, Radiation Oncology
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1689832123
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1770675852
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1346482460
Diagnostic Radiology, KY
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1427049667
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1568781789
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1235499948
Diagnostic Radiology, ME
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.