NPIMap

Organization Active NPI

Casco Bay Gastroenterology LLC

  • Gastroenterology Physician
  • South Portland, ME
National Provider Identifier
1972579241
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CASCO BAY GASTROENTEROLOGY LLC
Practice address
25 Long Creek Dr
South Portland, ME 04106-2440
Phone
(207) 879-0094
Fax
(207) 879-0095
NPI assigned
Feb 27, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Christine Marie Daigle, CCP
Title
Billing Manager
Phone
(207) 879-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

25 Long Creek Dr
South Portland, ME 04106-2440

Mailing address

25 Long Creek Dr
South Portland, ME 04106-2440
Phone (207) 879-0094

National Provider Directory

National Provider Directory

Locations

25 Long Creek Dr
#B
South Portland, ME 04106
Phone (207) 879-0094

25 Long Creek Dr
Ste B
South Portland, ME 04106
Phone (207) 879-0094

Practitioners & affiliated clinicians

Practitioners 11

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1972579241",
    "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": "207-879-0094",
            "fax_number": "207-879-0095"
        },
        {
            "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": "207-879-0094",
            "fax_number": "207-879-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-879-0094",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.