Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mainehealth

Organization Pediatric Surgery Physician · NPI 1780981803

Mainehealth is a Pediatric Surgery Physician in Portland, Maine. Licensed in Maine. Registered with an NPI since 2011.

Licensed in
ME
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

887 Congress St Ste 300
Portland, ME 04102
Phone: (207) 662-5555
Fax: (207) 662-5526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
General Acute Care Hospital Taxonomy 282N00000X · Licence 37563 (ME)
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1780981803
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMainehealth
Authorized official Lugene Inzana — Associate Cfo · (207) 662-3538
Other names Maine Medical Partners Pediatric Surgery; Maine Medical Partners Pediatric Surgery
NPI enumeratedFebruary 25, 2011
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address22 Bramhall St, Portland, ME 04102-3134

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