Healthcare Provider Details

I. General information

NPI: 1780189688
Provider Name (Legal Business Name): CHRISTOPHER EDWARD DEMME MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2018
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 CONGRESS ST STE 400
PORTLAND ME
04102-3163
US

IV. Provider business mailing address

887 CONGRESS ST STE 400
PORTLAND ME
04102-3163
US

V. Phone/Fax

Practice location:
  • Phone: 207-774-6368
  • Fax: 207-774-9388
Mailing address:
  • Phone: 207-774-6368
  • Fax: 207-774-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number24989
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD30362
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number24989
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD30362
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: