Christina Mimikos, D.O.
Christina Mimikos, D.O. is an Otolaryngology/Facial Plastic Surgery Physician in Portland, ME, registered under NPI 1093944258.
Getting there
The practice address on file is 1250 FOREST AVE STE 301, Portland, ME 04103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2016017553 | MO | Otolaryngology/Facial Plastic Surgery… primary |
| 5101018354 | MI | Otolaryngology/Facial Plastic Surgery… |
Licences are recorded in 2 states: MO, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Otolaryngology
- PAC ID
- 8820231905
Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Michigan and Missouri. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 5101018354
- Specialty
- Otolaryngology/Facial Plastic Surgery…
- Licence
- 2016017553
- Specialty
- Otolaryngology/Facial Plastic Surgery…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Otolaryngology/Facial Plastic Surgery covers
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. NUCC Health Care Provider Taxonomy, code 207YX0905X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician Otolaryngology/Facial Plastic Surgery | 2016017553 | MO | primary |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician Otolaryngology/Facial Plastic Surgery | 5101018354 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1093944258 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 9, 2009 |
| Last updated | Oct 19, 2018 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.O. |
| Practice address |
1250 FOREST AVE STE 301 Portland, ME 04103 (207) 797-5753 |
| Other identifiers |
PENDING
(AR) PENDING (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 9 | 3 | 9 | 4 | 4 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 9 | 3 | 9 | 4 | 8 | 2 | 1 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.