MMC ORAL SURGERY
NPI 1790889376
Oral & Maxillofacial Surgery in Portland, ME

NPI Status: Active since September 12, 2006

Contact Information

22 BRAMHALL ST
DEPT OF SURGERY
PORTLAND, ME
ZIP 04102
Phone: (207) 871-4078
Fax: (207) 871-6389

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  • Organization
  • Oral & Maxillofacial Surgery

About MMC ORAL SURGERY

This page provides the complete NPI Profile along with additional information for Mmc Oral Surgery, a provider established in Portland, Maine operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1790889376 assigned on September 2006. The practitioner's primary taxonomy code is 204E00000X. 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 provider's is doing business as Mmc Oral Surgery. The authorized official of this NPI record is Stephen J Kasabian (President)

NPI
1790889376
Provider Legal Name
MAINE MEDICAL PARTNERS
Other Organization Name
MMC ORAL SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
22 BRAMHALL ST DEPT OF SURGERY PORTLAND, ME 04102
Location Phone
(207) 871-4078
Location Fax
(207) 871-6389
Mailing Address
39 WALLACE AVE SOUTH PORTLAND, ME 04106
Mailing Phone
(207) 761-0650
Mailing Fax
(207) 871-6389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2006
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

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

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

STEPHEN J KASABIAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(207) 761-0650

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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.
1790889376
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718016818314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 1 + 8 + 3 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1790889376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386641355 SUZANNE MAYNARD CRNA
Individual
Nurse Anesthetist, Certified Registered22 BRAMHALL ST DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
(207) 662-4562
1750389359 MONIQUE L PATTERSON CRNA
Individual
Nurse Anesthetist, Certified Registered22 BRAMHALL ST
PORTLAND, ME 04102
(207) 415-9955
1679565626DR. THOMAS P CHARRETTE MD
Individual
Hospitalist22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
(207) 662-4618
1386635308 DAVID CUENOD ERNST M.D.
Individual
Specialist22 BRAMHALL ST DEPT OF OB/GYN
PORTLAND, ME 04102
(207) 662-2166
1881652642 LISA C PRENTISS PA
Individual
Physician Assistant22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
(207) 662-4618
1639127699 TINA G MERRILL PA-C
Individual
Physician Assistant22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2263
1013967918 MEREDITH BEAUREGARD PA
Individual
Physician Assistant22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
(207) 662-4618
1104870377 NANANDA F COL MD
Individual
Internal Medicine22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-4745
1487601878 BLUE B BUTTERFIELD PA
Individual
Physician Assistant22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
(207) 662-4618
1750324851MRS. CLAIRE ANNE MINER RN, BSN,CRNA
Individual
Nurse Anesthetist, Certified Registered22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2526
1215973953 ERIC J FREHM MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)22 BRAMHALL ST DIVISION OF NEONATOLOGY
PORTLAND, ME 04102
(207) 662-2553
1740219963 BURT J YANKIVER MD
Individual
Hospitalist22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
(207) 662-4618
1740212364 MARC JACQUET M.D.
Individual
Hospitalist22 BRAMHALL ST PAVILLION 1203
PORTLAND, ME 04102
(207) 662-4618
1841221629DR. TINA PIRAINO D.O.
Individual
Hospitalist22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-4618
1881626240DR. ANTHONY C MILLER M.D.
Individual
Anesthesiology22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2526
1285668103DR. HAGEN BLASZYK M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2959
1376551861MAINE MEDICAL PARTNERS
Organization
Family Medicine22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2875
1083727606DR. WILLIAM DEAN JEANBLANC M.D.
Individual
Psychiatry & Neurology (Geriatric Psychiatry)22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2816
1528161312MR. PAUL E DIONNE JR. CRNA
Individual
Nurse Anesthetist, Certified Registered22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-2526
1720181431DR. MARK D EARNSHAW MD
Individual
Emergency Medicine22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-7046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790889376, enumerated in the NPI registry as an "organization" on September 12, 2006

The provider is located at 22 Bramhall St Dept Of Surgery Portland, Me 04102 and the phone number is (207) 871-4078

This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X

This NPI record was last updated on September 12, 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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