Active NPI
Ali Abbasian Hersini, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Portland, ME
National Provider Identifier
1740559236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 19030
- Practice address
- 195 Fore River Pkwy
Suite 210
Portland, ME 04102-2780 - Phone
- (207) 553-6681
- Fax
- (207) 553-6682
- NPI assigned
- Dec 29, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 19030 | ME | Primary |
Addresses
Primary practice location
195 Fore River Pkwy
Suite 210
Portland, ME 04102-2780
Mailing address
195 Fore River Pkwy
Suite 210
Portland, ME 04102-2780
Phone (207) 553-6681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19030 | ME | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1740559236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-553-6681",
"fax_number": "207-553-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-553-6681",
"fax_number": "207-553-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBASIAN HERSINI",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "ME",
"license": "19030",
"primary": true
}
],
"identifiers": [],
"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 Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.