JOHN MICHAEL STUART (NPI# 1174895627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174895627 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL STUART |
| Credential | PA-C |
| Practice Address |
489 State St Bangor ME 04401-6616 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1005 |
| Practice Telephone | 2079737000 |
| Practice Fax Number | 2079735042 |
| Mailing Telephone | 2079735035 |
| Mailing Fax Number | 2079735042 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1318 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755212 | John Stuart Jr. | Optometrist | 12820 Hillcrest Rd Ste 100, Dallas, TX 75230-1516 | 2019-02-09 |
| 1649349903 | John Stuart | Physical Therapist | 4700 Nelson Brogdon Blvd Ste 240, Buford, GA 30518-5401 | 2006-11-08 |
| 1164535498 | John Stuart | Internal Medicine | 232 Stonewall St, Memphis, TN 38112-5144 | 2006-08-17 |
| 1235195439 | John R Stuart | Family Medicine | 11501 Montgomery Blvd Ne, Albuquerque, NM 87111 | 2006-04-25 |
| 1124597414 | John William Stuart | Counselor | 505 E North Foothills Dr, Spokane, WA 99207-2101 | 2018-11-16 |
| 1669591186 | John A Stuart | Preventive Medicine | 120 Lytton Ave, Pittsburgh, PA 15213-1481 | 2007-03-28 |
| 1972615201 | John Cortland Stuart | Dentist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-31 |
| 1609861855 | John C Stuart | Ophthalmology | 5700 Corporate Dr, Ste 490, Pittsburgh, PA 15237-5861 | 2005-09-14 |
| Street Address |
489 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1558983148 | Lana Caroline Hoertz | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2020-05-18 |
| 1427696954 | Kelsey A Mcgrath | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-12-16 |
| 1528629888 | Jaclyn Young | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-06-26 |
| 1568928018 | Emily Bohm | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-20 |
| 1144786971 | Andrew Hopkins | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-18 |
| 1750847083 | Daniel Patrick Conway | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-12 |
| 1306317847 | Matthew Daniel Kent | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2018-12-10 |
| 1750869061 | Brian Marsh | Nurse Practitioner | 489 State St, Bangor, ME 04401 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
| 1093730350 | Melissa Becker | Physician Assistant | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2006-07-13 |
| 1356969521 | Ashley Gilmore | Physician Assistant | 883 Union Street, Suite 145, Bangor, ME 04401 | 2020-07-14 |
| 1508496845 | Jeremy Kent Wu | Physician Assistant | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2020-01-24 |
| 1922668466 | Kathryn Dobrovolny | Physician Assistant | 417 State St Ste 330, Bangor, ME 04401-6638 | 2019-06-17 |
| 1063076461 | Nicole Louise Robitaille | Physician Assistant | 417 State St Ste 330, Bangor, ME 04401-6638 | 2019-05-01 |
| 1356809883 | Abigail Elizabeth Bobbitt | Physician Assistant | 417 State Street, Webber West, Suite 443, Bangor, ME 04401 | 2019-03-04 |
| 1023574357 | Katherine Page Hintz | Physician Assistant | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2019-02-12 |
| 1992286546 | Royce Blackwood | Physician Assistant | 360 Broadway, Bangor, ME 04401-3979 | 2018-08-22 |
| 1609383041 | Alana Rive Silverman | Physician Assistant | 417 State St Ste 221, Bangor, ME 04401-6630 | 2018-01-08 |
| Find all providers in BANGOR | ||||
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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.