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

Southern Maine Foot and Ankle PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1417020041

Southern Maine Foot and Ankle PA is a Foot & Ankle Surgery Podiatrist in Scarborough, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Plaza Dr Ste 9
Scarborough, ME 04074-6900
Phone: (207) 883-0865
Fax: (207) 883-0913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD1031 (ME)

Record details

NPI number1417020041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Ocampo — President · (207) 883-0865
NPI enumeratedNovember 15, 2006
Last updated in NPPESNovember 15, 2016
Mailing address25 Plaza Dr, Suite 9, Scarborough, ME 04074-6900

Other providers in Scarborough