Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053635508 Individual Practitioner Female Practitioner

Dr. Laura J. Faherty , MD, MPH, MSH

Pediatrics • Portland, ME

Professional Overview & Biography Verified Profile Summary

Dr. Laura Faherty, MD, MPH, MSH is a registered healthcare professional specializing in Pediatrics in Portland, ME. Practice services are available at 22 BRAMHALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22 Bramhall St

Portland, ME 041023175

Telephone 2076622911
Fax 6175684780
Associated Practice Facility / Clinic
🏢 Mainehealth Facility NPI 1760436216

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portland, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
77 Specialists

Practicing in Portland, ME (319 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

CMS Verified: 2021-10-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ME MD23809

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110095957A (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Sutapa Ghosh , MD

Obstetrics & Gynecology

NPI 1003887456

Doctor of Medicine (M.D.)

Katharine Addicott , FNP

Nurse Practitioner - Family

NPI 1013032036

Family Nurse Practitioner

Dr. Anu Mehra , MD

Family Medicine

NPI 1013179787

Doctor of Medicine (M.D.)

Dr. Shereen Mohiuddin , MD

Family Medicine - Geriatric Medicine

NPI 1013209824

Doctor of Medicine (M.D.)

Dominique Murphy , PA-C

Physician Assistant - Medical

NPI 1013230150

Physician Assistant (Certified)

Caitlin Crowley , FNP-BC

Nurse Practitioner - Family

NPI 1013358381

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location October 18, 2021

Registered at 22 BRAMHALL ST, PORTLAND, ME 041023175 (Tel: 2076622911)

📍
Updated Business Mailing Address October 18, 2021

Registered at 22 BRAMHALL ST, PORTLAND, ME 041023175 (Tel: 2076622911)

👤
Provider Name / Credentials Updated October 18, 2021

Recorded as LAURA FAHERTY, M.D., M.P.H., M.S.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Pediatrics (License #MD23809 in ME)

NPI Profile Active February 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2017

Registered at 10 GOVE ST, EAST BOSTON, MA 021281920 (Tel: 6175695800)

📍
Updated Business Mailing Address February 17, 2017

Registered at 10 GOVE ST, EAST BOSTON, MA 021281920 (Tel: 6175695800)

👤
Provider Name / Credentials Updated February 17, 2017

Recorded as LAURA FAHERTY, M.D., M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Pediatrics (License #254089 in MA)

NPI Profile Active August 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2014

Registered at 4865 MARKET ST, PHILADELPHIA, PA 191393508 (Tel: 2674259800)

📍
Updated Business Mailing Address August 01, 2014

Registered at 4865 MARKET ST, PHILADELPHIA, PA 191393508 (Tel: 2674259800)

👤
Provider Name / Credentials Updated August 01, 2014

Recorded as LAURA JOHNSON, M.D., M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2014

Pediatrics (License #MD450981 in PA)

🟢
Initial NPI Registration & Enumeration March 25, 2010

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: 1053635508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2010
Last Update: October 18, 2021
Sole Proprietor: No

Mailing Address

22 Bramhall St

Portland, ME 041023175

Phone: 2076622911

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.