NPIMap

Organization Active NPI

Maine Ear Nose & Throat Center LLC

Doing business as Maine Ear Center

  • Otolaryngology Physician
  • Scarborough, ME
National Provider Identifier
1881767846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
014566 Issued in ME
Legal business name
MAINE EAR NOSE & THROAT CENTER LLC
Doing business as
Maine Ear Center
Practice address
69 US Route 1
Scarborough, ME 04074-9374
Phone
(207) 885-0200
Fax
(207) 885-0255
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay D Raisen, M.D.NPI 1740305473
Title
Manager
Phone
(207) 885-0200

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)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 014566 ME Primary

Addresses

Primary practice location

69 US Route 1
Scarborough, ME 04074-9374

Mailing address

PO Box 6490
Scarborough, ME 04070-6490
Phone (207) 885-0200

Other names 1

  • Maine Ear Center Doing business as

National Provider Directory

National Provider Directory

Locations

210 Western Ave
Fl 3
South Portland, ME 04106
Phone (207) 780-6000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881767846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6490",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040706490",
            "telephone_number": "207-885-0200",
            "fax_number": "207-885-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749374",
            "telephone_number": "207-885-0200",
            "fax_number": "207-885-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE EAR NOSE & THROAT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAISEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-885-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "014566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Ear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.