Maine Thoracic Surgery, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD13305 Issued in ME

Legal business name

MAINE THORACIC SURGERY, LLC

Practice address

21 Northbrook Dr # B
Falmouth, ME 04105-1379

Phone

(207) 781-8594

Fax

(207) 781-3493

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth D Blank, M.D.

Title

Owner

Phone

(207) 781-8594

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1841672094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR # B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051379",
            "telephone_number": "207-781-8594",
            "fax_number": "207-781-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR # B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051379",
            "telephone_number": "207-781-8594",
            "fax_number": "207-781-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE THORACIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-781-8594",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "MD13305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maine Neurobehavioral Services, P.a.
• Maine Sleep Dentistry, LLC
• Maine Vein Center Associates, LLC
• Mainehealth
• Mainehealth (Maine Medical Partners Orthopedics)
• Michele Marchildon, PA
• Caroline Davenport Marin

• Medical Specialty Clinic/Center in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Medical Specialty Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.