Mousam Valley Orthopaedics PA
Orthopaedic Surgery in Sanford, ME. Organization (NPI-2).
NPI number1043374044
StatusActive
Last updated in NPPESJan 28, 2008
Details
- NPI
- 1043374044
- Entity type
- Organization (NPI-2)
- Legal business name
- Mousam Valley Orthopaedics PA
- Organization subpart
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Jan 28, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | ME | Yes |
Practice location
312 Cottage StSanford, ME 04073-1828
Phone 207-324-1488 · Fax 207-490-5733
Mailing address
312 Cottage StSanford, ME 04073-1828
Phone 207-324-1488 · Fax 207-490-5733
Authorized official
Randi D Lebar
President
2073241488
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