IRA W. STOCKWELL (NPI# 1609812551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812551 |
| Entity Type | Individual |
| Full Name | IRA W. STOCKWELL |
| Credential | D.O. |
| Practice Address |
344 Cumberland St Westbrook ME 04092-2408 |
| Mailing Address |
2 Chabot St Ste 2 Westbrook ME 04092-4815 |
| Practice Telephone | 2078548200 |
| Practice Fax Number | 2078548200 |
| Mailing Telephone | 2078579311 |
| Mailing Fax Number | 2078579324 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
DO847 | ME | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 847 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 199930099 | 05 |
| Street Address |
344 CUMBERLAND ST |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275570541 | Richard Sydney Stockwell | Colon & Rectal Surgery | 344 Cumberland St, Westbrook, ME 04092-2408 | 2006-06-02 |
| 1174855449 | Miguel Velazquez Do, P.a. | Neuromusculoskeletal Medicine & OMM | 344 Cumberland St, Westbrook, ME 04092-2408 | 2010-02-11 |
| 1992982680 | Richard Stockwell, Do, LLC | Colon & Rectal Surgery | 344 Cumberland St, Westbrook, ME 04092-2408 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178456 | Willard M Stitzell, Do | Family Medicine | 680 Hancock Pond Rd, Sebago, ME 04029-3015 | 2006-12-08 |
| 1275635047 | Michael Antony Jukes | Family Medicine | 119 Abner Point Rd, Bailey Island, ME 04003-2540 | 2006-09-02 |
| 1144242033 | John Francis Hussey Jr. | Family Medicine | 1 Va Ctr # 171, Augusta, ME 04330-6719 | 2006-07-23 |
| 1598743114 | Kelli B Mayfield | Family Medicine | 40 Glenridge Dr, Augusta, ME 04330-6606 | 2006-01-04 |
| 1114908415 | Philip Clarence Groce | Family Medicine | 321 Appleton Rd, Union, ME 04862-4824 | 2005-11-14 |
| 1295199453 | Carlen Smith | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-04-13 |
| 1790122927 | Emily Livia Carter | Family Medicine | 66 Bramhall St, Portland, ME 04102-3344 | 2013-05-29 |
| 1134405319 | Penny Lamhut | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2011-11-01 |
| 1770868762 | Alexandra Jane Barr | Family Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2011-10-21 |
| 1285869420 | Chester C Suske | Family Medicine | 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 | 2009-05-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IRA W. STOCKWELL.
| 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.