Organization Active NPI

Maine Osteopathic Health LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Gorham, ME
National Provider Identifier
1710408620
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MAINE OSTEOPATHIC HEALTH LLC
Practice address
8 Elm St
Gorham, ME 04038-1506
Phone
(207) 725-8079
NPI assigned
Jun 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael Posch, DONPI 1891082871
Title
Owner
Phone
(860) 966-6372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8 Elm St
Gorham, ME 04038-1506

Mailing address

8 Elm St
Gorham, ME 04038-1506
Phone (860) 966-6372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171013000123 ME Part B Supplier - Clinic/Group Practice 4183999386 Receives reassigned benefits from 2 practitioners
Practice locations: Bangor, ME

National Provider Directory

National Provider Directory

Locations

700 Mount Hope Ave
Ste 600
Bangor, ME 04401
Phone (207) 922-2464

8 Elm St
#1
Gorham, ME 04038
Phone (207) 604-2236

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710408620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ELM ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381506",
            "telephone_number": "860-966-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ELM ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381506",
            "telephone_number": "207-725-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE OSTEOPATHIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-966-6372",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.