Northern Maine ENT Associates PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD8959 Issued in ME

Legal business name

NORTHERN MAINE ENT ASSOCIATES PA

Practice address

180 Academy St
Ste 1
Presque Isle, ME 04769-3183

Phone

(207) 760-8100

Fax

(207) 760-8188

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Narayana Prasanna, MD

Title

Ceo

Phone

(207) 760-8100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1790174134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE ENT ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "PRASANNA",
        "authorized_official_first_name": "NARAYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-760-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "MD8959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole D. Newcomb
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• Northern Maine Ambulatory Endoscopy Center
• Northern Maine ENT Associates
• Northern Maine Eyewear LLC
• Northern Maine Oral & Facial Surgery PA
• Northern Maine Oral & Facial Surgery, PA
• Northern Maine Orthodontic Assoc.
• Northern Maine Speech Language Pathology Services, Inc.

• Otolaryngology Physician in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Otolaryngology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.