Southern Maine Foot And Ankle Pa in Scarborough - Foot & Ankle Surgery
Southern Maine Foot And Ankle Pa - NPI 1417020041
Southern Maine Foot And Ankle Pa is a Foot & Ankle Surgery in Scarborough, Maine. Southern Maine Foot And Ankle Pa practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Southern Maine Foot And Ankle Pa is 1417020041. The last update date is 2016-11-15.
Southern Maine Foot And Ankle Pa's current location address is 25 Plaza Dr, Scarborough, Maine. You can contact this provider via phone number 2078830865 and fax number 2078830913. The mailing address for Southern Maine Foot And Ankle Pa is 25 Plaza Dr, Scarborough, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Maine Foot And Ankle Pa |
|---|---|
| Address | 25 Plaza Dr, Scarborough, Maine |
| Phone Number | 2078830865 |
| Fax Number | 2078830913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ocampo T Peter |
| Credentials | DPM |
| Telephone Number | 2078830865 |
NPI Number Detail
| NPI Number | 1417020041 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2016-11-15 |
Provider Mailing Address Detail
| Address | 25 Plaza Dr |
|---|---|
| City | Scarborough |
| State | Maine (ME) |
| Post Code | 40746900 |
| Phone Number | 2078830865 |
| Fax Number | 2078830913 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | POD1031 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the Southern Maine Foot And Ankle Pa's unique identification number?
The Southern Maine Foot And Ankle Pa has been assigned the NPI (National Provider Identifier) Number 1417020041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Southern Maine Foot And Ankle Pa is physically located?
The Southern Maine Foot And Ankle Pa is situated at the following address: 25 Plaza Dr, Scarborough, ME 40746900.
What is Southern Maine Foot And Ankle Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southern Maine Foot And Ankle Pa's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When did the Southern Maine Foot And Ankle Pa receive its 1417020041?
The Southern Maine Foot And Ankle Pa was issued its 1417020041 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
When was the Southern Maine Foot And Ankle Pa's information last updated?
The Southern Maine Foot And Ankle Pa's information was last updated on 2016-11-15.