HEAD AND NECK SURGICAL ASSOCIATES PA NPI 1184684599

NPI Information

  • NPI: 1184684599
  • Provider Name: HEAD AND NECK SURGICAL ASSOCIATES, PA
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 1250 FOREST AVE
    SUITE 301
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 797-5753

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NPI Details

HEAD AND NECK SURGICAL ASSOCIATES, PA is an otolaryngology/facial plastic surgery otolaryngology in Portland, ME. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. HEAD AND NECK SURGICAL ASSOCIATES, PA NPI is 1184684599. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 FOREST AVE
SUITE 301
PORTLAND, ME
ZIP 04103-884
Phone: (207) 797-5753
Fax: (207) 878-1715

The provider's authorized official is Elaine H Butland .
The authorized official title is Office Manager and has the following contact phone number (207) 797-5753.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 9/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CB0866OTHERMAINEMEDICARE RAIL ROAD
2=========OTHERMAINEEIN
3152556MEDICARE PINMAINE
4111630000MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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