Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mainehealth

Organization Gynecology Physician · NPI 1679887400

Mainehealth provides Gynecology Physician services in South Portland, Maine. Licensed in Maine. Registered with an NPI since 2010.

Licensed in
ME
In the registry since
2010
Specialties on file
3

Practice location Address checks out

100 Brickhill Ave
South Portland, ME 04106
Phone: (207) 775-1255
Fax: (207) 775-1299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
General Acute Care Hospital Taxonomy 282N00000X · Licence 37563 (ME)
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1679887400
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMaine Medical Center
Authorized official Lugene Inzana — Associate Cfo · (207) 662-3538
Other names Maine Medical Partners Women'S Health Urogyn Division; Maine Medical Partners Women'S Health Urogyn Division
NPI enumeratedAugust 4, 2010
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address22 Bramhall St, Portland, ME 04102-3134

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