SMMC Pediatrics – Pediatrics Physician, NPI 1194902809

SMMC Pediatrics is a healthcare provider. based in South portland, Maine. specializing in Pediatrics Physician. The NPI Number for SMMC Pediatrics is 1194902809

Main info

Organization
Name
SMMC Pediatrics
NPI
1194902809
Phone
(207) 985-8460
Address
39 WALLACE AVE
Authorized Official
FRANK LAVOIE VP MEDICAL AFFAIRS MD
Enumeration Date
24 January 2008
Last Update Date
9 June 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for SMMC Pediatrics

  • 39, Wallace Avenue, Sunset Park, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041066143

    Phone: (207) 985-8460

    Type: Mailing

  • 2, Berry Court, Kennebunk, York County, Maine, 04043, United States

    KENNEBUNK, ME 040436812

    Phone: (207) 985-8460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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Reviews

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Frequently asked questions

How is SMMC Pediatrics identified in CMS data?
CMS-hosted NPPES data lists SMMC Pediatrics with NPI 1194902809.
Is SMMC Pediatrics still practicing?
SMMC Pediatrics is currently listed as active in the public NPI registry.
What is SMMC Pediatrics's specialty?
The listing groups SMMC Pediatrics with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is SMMC Pediatrics based?
SMMC Pediatrics is tied to South Portland, Maine in the data we show; additional addresses may exist on the full record.
Why does SMMC Pediatrics have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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