MEDICARE: SPECTRUM HEALTHCARE PARTNERS, P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1417613456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUM HEALTHCARE PARTNERS, P.A

Provider Business Mailing Address
First Line	:	324 GANNETT DR STE 200
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 TURNER ST STE 1
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-5093
Country	:	US
Telephone Number	:	207-601-3333
Fax Number	:	207-470-1026

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL MCCORMACK
Credential	:
Telephone Number	:	207-482-7800

Provider Enumeration Date	:	11/15/2021
Last Update Date	:	05/14/2026

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