PORTLAND OSTEOPATHIC, PA
NPI 1538113063
Neuromusculoskeletal Medicine & OMM in Portland, ME

NPI Status: Active since May 20, 2006

Contact Information

208 VAUGHAN ST
PORTLAND, ME
ZIP 04102
Phone: (207) 221-2355
Fax: (207) 221-2356

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  • Organization
  • Neuromusculoskeletal Medicine & OMM

About PORTLAND OSTEOPATHIC, PA

This page provides the complete NPI Profile along with additional information for Portland Osteopathic, Pa, a provider established in Portland, Maine operating as a Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1538113063 assigned on May 2006. The practitioner's primary taxonomy code is 204D00000X with license number 1715 (ME). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eden J Zoll D.o. (Owner)

NPI
1538113063
Provider Name
PORTLAND OSTEOPATHIC, PA
Entity Type
Organization
Location Address
208 VAUGHAN ST PORTLAND, ME 04102
Location Phone
(207) 221-2355
Location Fax
(207) 221-2356
Mailing Address
PO BOX 4022 PORTLAND, ME 04101
Mailing Phone
(207) 221-2355
Mailing Fax
(207) 221-2356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
License No.
1715
License State
ME
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDEN J ZOLL D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(207) 221-2355

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538113063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568216012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 1 + 6 + 0 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1538113063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689627515 EDEN J. ZOLL DO
Individual
Neuromusculoskeletal Medicine & OMM208 VAUGHAN ST
PORTLAND, ME 04102
(207) 221-2355
1053560482 MARY MARSHALL WOODWARD LIC.AC.
Individual
Acupuncturist208 VAUGHAN ST
PORTLAND, ME 04102
(207) 874-4058
1184683468 JOHN WILLIAM GREEN LCSW
Individual
Social Worker (Clinical)208 VAUGHAN ST
PORTLAND, ME 04102
(207) 415-3393
1841484706 GLADYS P GARCIA LCSW
Individual
Social Worker (Clinical)208 VAUGHAN ST
PORTLAND, ME 04102
(207) 332-9049
1841297009DR. BENJAMIN CROCKER MD
Individual
Psychiatry & Neurology (Psychiatry)208 VAUGHAN ST
PORTLAND, ME 04102
(207) 450-8627
1417315482REINSOPHY LLC
Organization
Psychiatry & Neurology (Psychiatry)208 VAUGHAN ST
PORTLAND, ME 04102
(207) 400-6197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538113063, enumerated in the NPI registry as an "organization" on May 20, 2006

The provider is located at 208 Vaughan St Portland, Me 04102 and the phone number is (207) 221-2355

This medical organization specializes in Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X

This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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