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Deactivated NPI 1104897701 Deactivated / Inactive NPI Male Practitioner

Phillips Passero

Surgery • Bridgton, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phillips Passero has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date April 21, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Phillips Passero was a registered Surgery practicing in Bridgton, ME. Throughout an active medical career spanning 15 years, Phillips Passero provided care at the practice location at 25 HOSPITAL DR until profile deactivation on 2021-04-21.

Practice Location & Contact Primary Location

Practice Address

25 Hospital Dr

Bridgton, ME 040091156

Telephone 2077955709
Associated Practice Facility / Clinic
🏢 Bridgton Hospital Facility NPI 1154370153

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bridgton, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Bridgton, ME (246 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 013650

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Nasrola Edalatpour , MD

Neurological Surgery

NPI 1003911405

Doctor of Medicine (M.D.)

Michael Wooton

Nurse Anesthetist, Certified Registered

NPI 1053429043
Ellen Crocker

Social Worker

NPI 1063485597
Dr. James Frenette , MD

Orthopaedic Surgery

NPI 1114999448

Doctor of Medicine (M.D.)

NPI 1164494399

Doctor of Medicine (M.D.)

Donna Thompson

Internal Medicine - Hematology & Oncology

NPI 1245457076

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 21, 2021

Record deactivated on April 21, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 25 HOSPITAL DR, BRIDGTON, ME 040091156 (Tel: 2077955709)

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Updated Business Mailing Address July 08, 2007

Registered at 25 HOSPITAL DR, BRIDGTON, ME 040091156 (Tel: 2077955709)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIPS PASSERO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #013650 in ME)

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Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104897701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: July 08, 2007
Deactivation Date: April 21, 2021

Mailing Address

25 Hospital Dr

Bridgton, ME 040091156

Phone: 2077955709

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.