Organization Active NPI

Western Avenue Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Westbrook, ME
National Provider Identifier
1841688942
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WESTERN AVENUE DAY SURGERY CENTER
Practice address
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone
(207) 775-3446
Fax
(207) 879-1646
NPI assigned
Dec 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Colette Bergeron Davies, CPA
Title
Practice Administrator
Phone
(207) 775-3446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Medical Specialty Clinic/Center 261QM2500X 38157 ME

Addresses

Primary practice location

11 Rock Row Ste 210
Westbrook, ME 04092-4877

Mailing address

11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone (207) 775-3446

Other practice location 1

244 Western Ave
South Portland, ME 04106-2430
Phone (207) 775-3446

Other identifiers 1

IdentifierTypeStateIssuer
107150200MedicaidME

Other names 1

  • Surgery Center at Plastic & Hand Other name

National Provider Directory

National Provider Directory
Tax ID family
Plastic Hand Surg ASC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1841688942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Western Ave",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062430",
            "country_code": "US",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN AVENUE DAY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "BERGERON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-775-3446",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "38157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107150200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Plastic & Hand",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.