Spectrum Healthcare Partners, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPECTRUM HEALTHCARE PARTNERS, PA

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 973-8305

NPI assigned

Jul 31, 2006

Organization subpart

Yes

Parent organization

SPECTRUM HEALTHCARE PARTNERS, PAAs reported in NPPES

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 7

Addresses

Other identifiers 1

Other names 2

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

Medicare fee-for-service enrollment

Enrolled in ME, NH, MA, HI, CA, NV, CO, IN, OH, TN, NJ, KY, NC, NY, MT, MI, PA, AZ, FL, MD, CT, MO, TX, GA, IA, IL, SC, ID, OR, VA, MN33 enrollments

Enrollment records 33

Other NPIs with the same Medicare PAC ID 6

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

• Spectrum Healthcare Partners, P.a

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Westbrook, ME
  • NPI 1023619939

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, ME
  • NPI 1417613456

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a.

  • Anesthesiology Physician
  • Portland, ME
  • NPI 1245252212

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, PA

  • Physical Therapy Clinic/Center
  • Portland, ME
  • NPI 1114505294

  7618871245

  Same PAC ID
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1669488011

  7618871245

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

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

• Spectrum Healthcare Partners, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607

  O20040920000935, O20230801001921

  Same enrollment
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1669488011

  O20040423000266, O20040423000305, O20040920000935, O20090825000103, O20120713000518, O20130110000136, O20130328000256, O20131011000231, O20131127001392, O20140303000978, O20150429002397, O20160216001450, O20160913000589, O20190919000111, O20

  Same enrollment
• Spectrum Healthcare Partners, P.a.

  • Diagnostic Radiology Physician
  • North Conway, NH
  • NPI 1144243197

  O20040920000935

  Same enrollment

Part of

Spectrum Healthcare Partners PA

Locations

Practitioners 240

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

• David T. Ahola, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1568552263
  Medicare reassignment Care Compare group NPD
• Maram Mohammed Alafif

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1841843950
  Medicare reassignment Care Compare group NPD
• Omar Ashour, M.D.

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1588005748

  TX

  Medicare reassignment Care Compare group NPD
• Ryan Bou Said, MD

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1568819027
  Medicare reassignment Care Compare group NPD
• Yeang Howe CHNG, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1285950725
  Medicare reassignment Care Compare group NPD
• Corey A. Couto, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1326266503
  Medicare reassignment Care Compare group NPD
• Charles A Crans Jr., M.D.

  • Diagnostic Radiology Physician
  • Rockport, ME
  • NPI 1417951914
  Medicare reassignment Care Compare group NPD
• Thomas W Cubberley, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1194713867
  Medicare reassignment Care Compare group NPD
• Jerrold T. Gale, M.D.

  • Diagnostic Radiology Physician
  • Lewiston, ME
  • NPI 1003860719
  Medicare reassignment Care Compare group NPD
• Amy R. Harrow, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1760499370
  Medicare reassignment Care Compare group NPD
• Ashish Khanal

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1881233765
  Medicare reassignment Care Compare group NPD
• Jerald Christopher Kuhn, M.D.

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1073590022
  Medicare reassignment Care Compare group NPD

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": "1710993159",
    "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": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-8305"
        }
    ],
    "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": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "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": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710993159",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Radiology North",
            "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"
        }
    ]
}

• Kristina Anne Spaulding, LD
• Gabriel Spear
• Mark A Spear, M.D.
• Spectrum Healthcare Partners, P.a
• Spectrum Healthcare Partners, P.a.
• Spectrum Medical Group, P.a.
• Michele E Spekhardt, DMD
• Robert Spencer
• Karl-Heinz Spittler, MD
• Ellen L Spooner

• Diagnostic Radiology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Diagnostic Radiology Physician in Maine

• 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.