Northern Maine ENT Associates

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

008959 Issued in ME

Legal business name

NORTHERN MAINE ENT ASSOCIATES

Practice address

180 Academy St
Suite 1
Presque Isle, ME 04769-3145

Phone

(207) 760-8100

Fax

(207) 760-8188

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Narayana Menta Prasanna, MD

Title

Owner/President

Phone

(207) 760-8100

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1952373995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693145",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693145",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE ENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "PRASANNA",
        "authorized_official_first_name": "NARAYANA",
        "authorized_official_middle_name": "MENTA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "207-760-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "008959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUESHIELD STAR ID",
            "identifier": "000418",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV ID",
            "identifier": "CH6750",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109080000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287280099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Carmody Neumayer, D.C.
• Nicole D. Newcomb
• Joanna Lee Newlands, LPN/CF-M
• Nmofs Ambulatory Surgical Center PC
• Northern Maine Ambulatory Endoscopy Center
• Northern Maine ENT Associates PA
• Northern Maine Eyewear LLC
• Northern Maine Oral & Facial Surgery PA
• Northern Maine Oral & Facial Surgery, PA
• Northern Maine Orthodontic Assoc.

• Otolaryngology Physician in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Otolaryngology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.