Maine Centers for Healthcare

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MAINE CENTERS FOR HEALTHCARE

Practice address

2 Chabot St
Westbrook, ME 04092-4817

Phone

(207) 857-9311

Fax

(207) 857-9324

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Owen B Pickus, D.O.

Title

Medical Director

Phone

(207) 857-9311

Specialties & licenses 6

Addresses

Other names 1

• Maine Center for Endoscopy Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1801990544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHABOT ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924817",
            "telephone_number": "207-857-9311",
            "fax_number": "207-857-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHABOT ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924817",
            "telephone_number": "207-857-9311",
            "fax_number": "207-857-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE CENTERS FOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "PICKUS",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-857-9311",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "1238",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "1385",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "015187",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "1177",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "012909",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Center for Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Elizabeth Magnoli, ANP-BC
• Main Street Dental
• Maine Center for Cancer Medicine
• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Centers for Healthcare PA
• Maine Community Homecare
• Maine Medical Partners
• Maine Opioid Dependency Program
• Maine Paradise Homecare, Inc

• Surgery Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.