Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
MaineHealth Medical Group-Specialty Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE A INZANA (ASSOCIATE CFO)
(207) 661-1346
Entity
Organization
Contact information
Practice address
110 FREE ST, PORTLAND, ME 04101-3908
(207) 661-7001
Mailing address
PO BOX 360489, PITTSBURGH, PA 15251-6489
(207) 887-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Enumeration date
06/01/2023
Last updated
03/31/2025
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