Healthcare Provider Details

I. General information

NPI: 1427057611
Provider Name (Legal Business Name): DIRK G. ASHERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 SEWALL ST
PORTLAND ME
04102-2603
US

IV. Provider business mailing address

33 SEWALL ST
PORTLAND ME
04102-2603
US

V. Phone/Fax

Practice location:
  • Phone: 207-828-2100
  • Fax: 207-828-2190
Mailing address:
  • Phone: 207-828-2101
  • Fax: 207-553-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberMD15148
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: