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

Kenneth Maisak, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1710125596

Kenneth Maisak, DPM is a Podiatry in Portland, Maine. Graduated from California School of Podiatric Medicine in 2008, 18 years ago. Practices with Portland Foot and Ankle, PA, a 5-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
18
Trained at
California School of Podiatric Medicine
Licensed in
ME
In the registry since
2009
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

68 Marginal Way
Portland, ME 04101-2444
Phone: (207) 879-1339
Fax: (207) 879-1092
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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 POD1077 (ME)

Record details

NPI number1710125596
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedFebruary 2, 2009
Last updated in NPPESSeptember 5, 2012
Mailing address68 Marginal Way, Portland, ME 04101-2444

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Portland Foot And Ankle, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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