# SOUTHERN MAINE FOOT AND ANKLE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417020041
- **Authorized official:** PETER T OCAMPO DPM (PRESIDENT)
- **Authorized official phone:** (207) 883-0865

## Contact information

- **Practice address:** 25 PLAZA DR, SUITE 9, SCARBOROUGH, ME 04074-6900
- **Practice address phone:** (207) 883-0865
- **Practice address fax:** (207) 883-0913
- **Mailing address:** 25 PLAZA DR, SUITE 9, SCARBOROUGH, ME 04074-6900
- **Mailing address phone:** (207) 883-0865
- **Mailing address fax:** (207) 883-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD1031 | ME | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 11/15/2016