Maine Children's Cancer Program – Pediatric Hematology & Oncology Physician, NPI 1912204033

Pediatric Hematology & Oncology Physician

Maine Children's Cancer Program is a healthcare provider. based in Portland, Maine. specializing in Pediatric Hematology & Oncology Physician. The organization holds a License No. 37563 (ME). The NPI Number for Maine Children's Cancer Program is 1912204033

Main info

Organization

Name

Maine Children's Cancer Program

NPI

1912204033

Phone

(207) 662-6562

Address

22 BRAMHALL ST

Authorized Official

LUGENE ANTHONY INZANA ASSOCIATE CFO

Enumeration Date

25 February 2011

Last Update Date

19 December 2022

Contacts

Main Contact

https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness90

Years active:15State licenses:1Updated within 12 months

Provider Addresses for Maine Children's Cancer Program

22 BRAMHALL ST
PORTLAND, ME 041023134
Phone: (207) 662-6562
Type: Mailing
100 CAMPUS DR
UNIT 107
SCARBOROUGH, ME 04074
Phone: (207) 885-7565
Fax: (207) 885-7577
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 04102)

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Reviews

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Frequently asked questions

What number should I use to identify Maine Children's Cancer Program for billing?

Administrative and clinical systems typically use NPI 1912204033 for Maine Children's Cancer Program.

Does the public listing show Maine Children's Cancer Program as active?

Maine Children's Cancer Program's NPI record reflects an active status in NPPES.

Which specialty label fits Maine Children's Cancer Program?

NPPES ties Maine Children's Cancer Program to Pediatric Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Maine Children's Cancer Program?

Maine Children's Cancer Program is associated with Portland, Maine in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.