Maine Medical Partners

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAINE MEDICAL PARTNERS

Practice address

1 Harnois Ave
Westbrook, ME 04092-4392

Phone

(207) 662-3400

Fax

(207) 662-3401

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Stephen J Kasabian

Title

President

Phone

(207) 661-2000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Maine Medical Partners Westbrook Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Maine Medical Partners

  • Family Medicine Physician
  • Scarborough, ME
  • NPI 1467477349

  O20031125000026

  Same enrollment

Tax ID family

Greater Portland Med GR5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Maine Medical Partners

  • Internal Medicine Physician
  • Scarborough, ME
  • NPI 1366826505
  NPD tax ID
• Maine Medical Partners

  • Physical Therapist
  • Scarborough, ME
  • NPI 1487830543
  NPD tax ID
• Maine Medical Partners

  • Surgery Physician
  • Portland, ME
  • NPI 1790160703
  NPD tax ID
• Maine Medical Partners

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, ME
  • NPI 1790889376
  NPD tax ID

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1790896876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHBOROUGH DR",
            "address_2": "SUITE 201",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066914",
            "telephone_number": "207-661-2000",
            "fax_number": "207-661-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARNOIS AVE",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924392",
            "telephone_number": "207-662-3400",
            "fax_number": "207-662-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "KASABIAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-661-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30216370",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119910024",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Medical Partners Westbrook Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Centers for Healthcare
• Maine Centers for Healthcare PA
• Maine Community Homecare
• Maine Opioid Dependency Program
• Maine Paradise Homecare, Inc
• Maine Senior Safe Care LLC
• Mainehealth
• Mainehealth

• Family Medicine Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.