JOHN BARRON STALLMAN II (NPI# 1144294117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144294117 |
| Entity Type | Individual |
| Full Name | JOHN BARRON STALLMAN II |
| Credential | PA-C |
| Practice Address |
35 Walker St Ste 200 Kittery ME 03904-1727 |
| Mailing Address |
35 Walker St Ste 200 Kittery ME 03904-1727 |
| Practice Telephone | 2073513525 |
| Mailing Telephone | 2073513525 |
| Mailing Fax Number | 2073513524 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | PA1896 | ME | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA1896 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0580 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Canton St, Manchester, NH 031033524 | 6036223623 |
| Street Address |
35 WALKER ST STE 200 |
| City | KITTERY |
| State | ME |
| Zip Code | 03904-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379274 | Nicolette K Caron | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2019-01-09 |
| 1568937159 | Nicholas J Coppins | Family Medicine | 35 Walker St, Kittery, ME 03904-1727 | 2018-10-10 |
| 1154783769 | Kimberlee Smith | Nurse Practitioner | 35 Walker St, Kittery, ME 03904-1727 | 2016-03-23 |
| 1669885596 | Kathryn Brokus | Family Medicine | 35 Walker St, Kittery, ME 03904 | 2014-06-09 |
| 1649513433 | Emily Jean Katz | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2013-04-01 |
| 1518214097 | Jennifer M Regan | Nurse Practitioner | 35 Walker St, Kittery, ME 03904-1727 | 2012-08-14 |
| 1194070201 | York Hospital | Clinic/Center | 35 Walker St, Kittery, ME 03904-1727 | 2012-07-16 |
| 1902114408 | Aria Rae Gibbons | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2010-09-17 |
| 1699000240 | Brittny Daly | Physician Assistant | 35 Walker St, My Health @ Kittery, York Hospital, Kittery, ME 03904-1727 | 2009-10-14 |
| 1861649147 | Kenneth Boyd Tolman | Physician Assistant | 35 Walker St, Kittery, ME 03904-1727 | 2008-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
| 1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
| 1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
| Find all providers in zip 03904 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043289739 | Taraneh Azar | Otolaryngology | 35 Walker St Ste 200, Kittery, ME 03904 | 2006-03-15 |
| 1659497444 | Family Ear, Nose & Throat, LLC | Otolaryngology | 35 Walker St Ste 200, Kittery, ME 03904-1727 | 2007-03-22 |
| 1326138041 | Christopher Michael Sarno | Otolaryngology | 35 Walker St, Suite 200, Kittery, ME 03904-1727 | 2006-10-13 |
| 1831296748 | Brett S Rankin | Otolaryngology | 35 Walker St, Suite 200, Kittery, ME 03904-1727 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1114346251 | Shane Griffith | Otolaryngology | 81 Medical Center Dr Ste 1150, Brunswick, ME 04011-2765 | 2014-04-15 |
| 1689930901 | Christopher F Manning | Otolaryngology | 88 Talbot Ave, Rockland, ME 04841-2934 | 2012-04-11 |
| 1013209931 | Angela Cheng-hung Tsai | Otolaryngology | 885 Union St Ste 145, Bangor, ME 04401-3073 | 2011-05-11 |
| 1265764484 | El-silimy Md LLC | Otolaryngology | 73 Sweden St, Caribou, ME 04736-2101 | 2010-02-12 |
| 1992877013 | Osama Ea El Silimy | Otolaryngology | 73 Sweden Street, Caribou, ME 04736 | 2006-11-14 |
| 1023105020 | Charles R Gasser | Otolaryngology | 12 High St Ste 102, Lewiston, ME 04240-7634 | 2006-10-10 |
| 1992805253 | Peter D O'connor | Otolaryngology | 331 Maine St Ste 4, Brunswick, ME 04011-3359 | 2006-09-25 |
| 1043310931 | Charles F Kava | Otolaryngology | 68 Ben Paul Ln, Rockport, ME 04856-4452 | 2006-09-22 |
| 1811094220 | William Raymond Chasse | Otolaryngology | 325 B Kennedy Memorial Drive, Waterville, ME 04901 | 2006-09-20 |
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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.