Active NPI
Oa ASC LLC
- Ambulatory Surgical Clinic/Center
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- OA ASC LLC
- Practice address
- 33 Sewall St
Portland, ME 04102-2603 - Phone
- (207) 828-2101
- Fax
- (207) 553-7166
- NPI assigned
- Oct 24, 2024
- Organization subpart
- Yes
- Parent organization
- GROWTH ORTHOPEDICS SERVICES MSO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn H Hanna, MD
- Title
- Vice President
- Phone
- (207) 828-2101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
33 Sewall St
Portland, ME 04102-2603
Mailing address
33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250328002165 | ME | Part B Supplier - Ambulatory Surgical Center | 2264955301 | Practice locations: Portland, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0877265 | Oa ASC, LLC | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
2811 Ponce de Leon Blvd
Ste 400
Coral Gables, FL 33134
33 Sewall St
Ste 1
Portland, ME 04102
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Portland, ME
- NPI 1063575355
-
- Certified Registered Nurse Anesthetist
- Portland, ME
- NPI 1770534448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1811718521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022603",
"telephone_number": "207-828-2101",
"fax_number": "207-553-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022603",
"telephone_number": "207-828-2101",
"fax_number": "207-553-7166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OA ASC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GROWTH ORTHOPEDICS SERVICES MSO",
"enumeration_date": "2024-10-24",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "207-828-2101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.