Individual provider Active NPI

Sarah P Greven-Chaousis, PA

  • Surgery Physician
  • South Portland, ME
National Provider Identifier
1891975827
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
PA001109 Issued in ME
Practice address
244 Western Ave
South Portland, ME 04106
Phone
(207) 775-3446
NPI assigned
Nov 7, 2007
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA001109 ME
Surgery Physician 208600000X PA1109 ME
Surgery Physician 208600000X PA001109 ME Primary

Addresses

Primary practice location

244 Western Ave
South Portland, ME 04106

Mailing address

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

Other practice location 1

12 High St
Suite 401
Lewiston, ME 04240-7634
Phone (207) 795-5767

Other practice location 2

287 Main St Ste 302
Lewiston, ME 04240-7056
Phone (207) 795-6543

Other practice location 3

12 High St
Suite 401
Lewiston, ME 04240-7634
Phone (207) 795-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000065 ME Practitioner - Physician Assistant 6901883925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA001109MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Oct 22, 2007 Accepting new patients
Central Maine Medical Center CurrentSince Oct 22, 2007 Accepting new patients

Locations

12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494

287 Main St
Ste 302
Lewiston, ME 04240
Phone (207) 795-6543

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1891975827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062430",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-775-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 High St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407634",
            "country_code": "US",
            "telephone_number": "207-795-5767",
            "fax_number": "207-795-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "287 Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407056",
            "country_code": "US",
            "telephone_number": "207-795-6543",
            "fax_number": "207-795-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 High St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407634",
            "country_code": "US",
            "telephone_number": "207-795-5767",
            "fax_number": "207-795-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREVEN-CHAOUSIS",
        "first_name": "SARAH",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001109",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "PA1109",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "PA001109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.