Portland Gastroenterology Associates P.A.

LBN: Portland Gastroenterology Associates P.A.
Portland Gastroenterology Associates P.A. is an health care organization with primary practice located at 161 Marginal Way , Portland ME 04101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Portland Gastroenterology Associates P.A. can be contacted via phone (207) 773-7964, or through Gousse, Melissa via phone (207) 773-7964.

Contact Information

Primary practice address
161 Marginal Way Portland ME 04101
Phone: (207) 773-7964
Fax: (207) 773-9073
Website:
Map and Directions
Authorized official contact:
Name: Gousse, Melissa
Phone: (207) 773-7964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1508087289
LBN Legal business name Portland Gastroenterology Associates P.A.
DBA Doing business as
Authorized official Gousse, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Feb 3rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508087289 NPPES
Maine MEDICAID 111280000

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