Active NPI
Leslie Robin Gass, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Portland, ME
National Provider Identifier
1679668453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 1804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116014 | Other | AETNA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1804 | ME | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie R. Gass, D.O., Inc. | Neuromusculoskeletal Medicine & Omm | Current | 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
- 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Portland, ME
- NPI 1447421862
-
- Neuromusculoskeletal Medicine & OMM Physician
- Portland, ME
- NPI 1760763155
-
- Neuromusculoskeletal Medicine & OMM Physician
- Falmouth, ME
- NPI 1215154356
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.