Provider Demographics
NPI:1205881042
Name:MAIONA, CHRISTOPHER B (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:MAIONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:NORTH VASSALBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04962-0247
Mailing Address - Country:US
Mailing Address - Phone:207-626-1000
Mailing Address - Fax:207-621-7277
Practice Address - Street 1:6 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5717
Practice Address - Country:US
Practice Address - Phone:207-626-1000
Practice Address - Fax:207-621-7277
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015914208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
110240782OtherRAILROAD MEDICARE
7105055OtherAETNA NON HMO
ME043888OtherANTHEM
H04731OtherHARVARD PILGRIM
2845586OtherAETNA HMO
ME274930099Medicaid
H04731OtherHARVARD PILGRIM
110240782OtherRAILROAD MEDICARE