Individual provider Active NPI

Leslie Robin Gass, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, ME
National Provider Identifier
1679668453
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1804 Issued in ME
Practice address
535 Ocean Ave
Portland, ME 04103-4973
Phone
(207) 773-7330
Fax
(207) 773-7340
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1804 ME Primary

Addresses

Primary practice location

535 Ocean Ave
Portland, ME 04103-4973

Mailing address

535 Ocean Ave
Portland, ME 04103-4973
Phone (207) 773-7330

Other identifiers 1

IdentifierTypeStateIssuer
1116014OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000088 ME Practitioner - Osteopathic Manipulative Medicine 2062433006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Leighton Rd
Falmouth, ME 04105-2225
Phone (207) 773-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1804MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie R. Gass, D.O., Inc. Neuromusculoskeletal Medicine & Omm CurrentSince Apr 1, 2008 Accepting new patients
Osteopathic Healthcare of Maine, P.a. Neuromusculoskeletal Medicine & Omm Past Accepting new patients
Karen L. Roberts, D.O. Professional Corporation Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

66 Leighton Rd
Falmouth, ME 04105
Phone (207) 536-0560

66 Leighton Rd
#1
Falmouth, ME 04105
Phone (207) 541-9285

535 Ocean Ave
Portland, ME 04103
Phone (207) 518-6000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1679668453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034973",
            "telephone_number": "207-773-7330",
            "fax_number": "207-773-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034973",
            "telephone_number": "207-773-7330",
            "fax_number": "207-773-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASS",
        "first_name": "LESLIE",
        "middle_name": "ROBIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1116014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.