Organization Active NPI

Maine Cardiology Associates

  • Cardiovascular Disease Physician
  • Lewiston, ME
National Provider Identifier
1760767255
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MAINE CARDIOLOGY ASSOCIATES
Practice address
198 Main St
Suite a
Lewiston, ME 04240-7640
Phone
(207) 777-5300
Fax
(207) 774-4293
NPI assigned
Oct 15, 2011
Organization subpart
Yes
Parent organization
MAINE CARDIOLOGY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Karl C Sze, M.D.
Title
President
Phone
(207) 774-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

198 Main St
Suite a
Lewiston, ME 04240-7640

Mailing address

119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 774-2642

Other identifiers 1

IdentifierTypeStateIssuer
107650003MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Maine Cardiology Associates2 organizations share this tax ID, including this one
Part of
Maine Cardiology Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1760767255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-774-2642",
            "fax_number": "207-774-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "address_2": "SUITE A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407640",
            "telephone_number": "207-777-5300",
            "fax_number": "207-774-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINE CARDIOLOGY ASSOCIATES",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "SZE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-2642",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107650003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.