Cape Concierge Medicine PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CAPE CONCIERGE MEDICINE PA

Practice address

25 Long Creek Dr
South Portland, ME 04106-2440

Phone

(207) 216-5298

NPI assigned

Feb 22, 2025

Organization subpart

No

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

Authorized official

Name

Bo Pang, DONPI 1134579519

Title

President

Phone

(207) 216-5298

Specialties & licenses 4

Addresses

Other names 1

• Cape ENT and Allergy Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bo Pang, DO

  • Facial Plastic Surgery Physician
  • Brunswick, ME
  • NPI 1134579519

  Otolaryngology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1881490589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062440",
            "telephone_number": "207-216-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062440",
            "telephone_number": "207-216-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CONCIERGE MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-216-5298",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape ENT and Allergy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape ENT and Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Campbell, MD
• Melanie Elizabeth Campbell, ATC, FNP-C
• Sydne Townsend Campbell, FNP
• Brenda Esther Canales, LCSW
• Georgia Madison Candage
• Cape Cottage Family Dentistry
• Andrew Newton Capone-Sprague, LMSW-CC
• Paula Cardona
• Care for You Staffing
• Careall P.C.

• Otolaryngology Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Otolaryngology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.