NPIMap

Organization Active NPI

City of Portland Maine

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Portland, ME
National Provider Identifier
1861720906
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
Legal business name
CITY OF PORTLAND MAINE
Practice address
20 Portland St
Portland, ME 04101-2912
Phone
(207) 874-8445
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mark H Rees
Title
City Manager
Phone
(207) 874-8944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KI0005X Primary

Addresses

Primary practice location

20 Portland St
Portland, ME 04101-2912

Mailing address

389 Congress St
Room 307
Portland, ME 04101-3566
Phone (207) 874-8784

Other identifiers 1

IdentifierTypeStateIssuer
136041100MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
City of Portland Maine HHS PHD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1861720906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CONGRESS ST",
            "address_2": "ROOM 307",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013566",
            "telephone_number": "207-874-8784",
            "fax_number": "207-874-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-874-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "207-874-8944"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136041100",
            "state": "ME"
        }
    ],
    "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 Mar 26, 2013; 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.