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Mainehealth

Family Medicine in Portland, ME. Organization (NPI-2).

NPI number1629761978
StatusActive
Last updated in NPPESAug 3, 2026

Details

NPI
1629761978
Entity type
Organization (NPI-2)
Legal business name
Mainehealth
Organization subpart
Yes
Enumeration date
Jun 1, 2023
Certification date
Aug 3, 2026
Last updated
Aug 3, 2026

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 codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
207RC0000X Internal Medicine, Cardiovascular Disease––
207T00000X Neurological Surgery––
207V00000X Obstetrics & Gynecology––
207X00000X Orthopaedic Surgery––
207Y00000X Otolaryngology––
2080P0206X Pediatrics, Pediatric Gastroenterology––
2080P0207X Pediatrics, Pediatric Hematology-Oncology––
208600000X Surgery––
2086S0120X Surgery, Pediatric Surgery––
208800000X Urology––
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––
225100000X Physical Therapist––
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging––

Other names

  • Mainehealth Medical Group-Specialty Care (Doing Business As)

Practice location

110 Free St
Portland, ME 04101-3908

Phone 207-661-7001

Mailing address

Po Box 360489
Pittsburgh, PA 15251-6489

Phone 207-887-5100

Authorized official

Robert Hunter
Senior Vice President - Finance
2076622272

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Portland, ME

All 108 Family Medicine Physician providers in Portland · All 7,184 providers in Portland

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