Active NPI
Maine Cardiology Associates
- Cardiovascular Disease Physician
- Lewiston, ME
National Provider Identifier
1760767255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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 ASSOCIATES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107650003 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- Maine Cardiology Associates
- 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.
-
- Cardiovascular Disease Physician
- South Portland, ME
- NPI 1114202561
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.