Organization
SPECTRUM HEALTHCARE PARTNERS, P.A.
Active
Parent organization
SPECTRUM HEALTHCARE PARTNERS, P.A
Other names
Spectrum Radiology South
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTHCARE PARTNERS, P.A
Authorized official
RYAN AMANDA MASELLI (CFO)
(207) 482-7800
Entity
Organization
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(307) 356-5461
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7861
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3861454
AETNA
NH
01
—
M108750
CIGNA
ME
01
—
SOUT301877
NH ANTHEM
NH
Enumeration date
07/25/2006
Last updated
11/13/2025
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