STEPHANIE W COLLINS (NPI# 1073599791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073599791 |
| Entity Type | Individual |
| Full Name | STEPHANIE W COLLINS |
| Credential | D.O. |
| Practice Address |
96 Ocean St Ste 4 South Portland ME 04106-2855 |
| Practice Telephone | (207) 747-4455 |
| Practice Fax Number | 8889075762 |
| Mailing Telephone | (207) 747-4455 |
| Mailing Fax Number | 8889075762 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO1663 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 254890099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003321878 | Stephanie Lynn Collins | Student in an Organized Health Care Education/Training Program | 65 Amherst St, Granby, MA 01033-9421 | 2017-12-02 |
| 1528344066 | Stephanie Michele Collins | Speech-Language Pathologist | 65 Kalyna Dr, Rochester, NY 14617-4920 | 2011-10-28 |
| 1841578366 | Stephanie M Collins | Massage Therapist | 3416 Broadway, Suite 3, Everett, WA 98201-5082 | 2011-08-01 |
| 1508978057 | Stephanie Collins | Nurse Practitioner | 1234 Madison High Drive, Tallulah, LA 71282-4204 | 2006-08-31 |
| 1417977679 | Stephanie L. Collins | Physical Therapist | 4801 Linwood Blvd Rehab Dept, Kansas City, MO 64128 | 2006-07-20 |
| 1891301057 | Stephanie L Collins | Technician | 312 Railroad Ave, Elkins, WV 26241-3859 | 2020-09-22 |
| 1912563453 | Stephanie Collins | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-05-09 |
| 1518497783 | Stephanie M Collins | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2017-06-19 |
| 1568906709 | Stephanie Christina Collins | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2016-12-07 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| Street Address |
96 OCEAN ST STE 4 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| 1093882102 | Peter Charles Mason | Neuromusculoskeletal Medicine & OMM | 270 State Rd, West Bath, ME 04530-6320 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.