STEPHANIE A PHELPS (NPI# 1639246663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639246663 |
| Entity Type | Individual |
| Full Name | STEPHANIE A PHELPS |
| Credential | M.D. |
| Practice Address |
121 Medical Center Dr Suite 2600 Brunswick ME 04011-2653 |
| Practice Telephone | 2077218333 |
| Practice Fax Number | 2077984618 |
| Mailing Telephone | 2077218333 |
| Mailing Fax Number | 2077984618 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 016805 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 00900M | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306281886 | Stephanie N Phelps | Marriage & Family Therapist | 2 S Decatur St, Strasburg, PA 17579-1403 | 2013-05-09 |
| 1083962427 | Stephanie Denise Phelps | Licensed Practical Nurse | 3032 Costello Ave, Cincinnati, OH 45211-7506 | 2012-08-15 |
| 1952436529 | Stephanie J. Phelps | Specialist/Technologist | 64 E 600 S, Heber City, UT 84032-2347 | 2007-02-22 |
| 1417386558 | Stephanie Phelps | Physical Therapist | 827 Georges Station Rd, Greensburg, PA 15601-6457 | 2013-11-08 |
| 1225282437 | Stephanie Marie Phelps | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110 | 2008-11-14 |
| 1477718096 | Stephanie Phelps | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2008-07-23 |
| 1033302880 | Stephanie D. Phelps | Speech-Language Pathologist | 9 Lacrue Ave, Glen Mills, PA 19342-1062 | 2007-08-24 |
| Street Address |
121 MEDICAL CENTER DR SUITE 2600 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1326410333 | Ruth E Macy | Physical Therapist | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2015-10-29 |
| 1447650676 | Maud Van De Wiele | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2014-08-25 |
| 1427320928 | Aoife Elizabeth O'brien | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2012-01-31 |
| 1083921282 | Alexis Leigh Nolan | Midwife | 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 | 2010-09-09 |
| 1053544718 | Annemarie B. Curnin | Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2009-08-28 |
| 1972768166 | Diana Vradii | Internal Medicine | 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 | 2008-07-28 |
| 1912167347 | Laura B Smith-tucker | Nurse Practitioner | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2008-06-10 |
| 1396928412 | Suzanne W Zimmerman | Registered Nurse | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2007-12-12 |
| 1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495510 | The Nemours Foundation | Pediatrics | 3025 Shrine Rd Ste 350, Brunswick, GA 31520-4786 | 2014-03-28 |
| 1942328091 | University Primary Care Practices | Pediatrics | 3812 Center Rd Ste 100, Brunswick, OH 44212-3025 | 2007-03-27 |
| 1902944234 | Ayman Aljabi | Pediatrics | 2920 Player St, Brunswick, GA 31520-4923 | 2007-02-01 |
| 1285781575 | Evelyn Delois Johnson | Pediatrics | 1600 Gloucester St, Brunswick, GA 31520-7145 | 2007-01-05 |
| 1730296112 | Eric Cameron Stout | Pediatrics | 2500 Starling St Ste 305, Brunswick, GA 31520-4265 | 2006-08-23 |
| 1972616852 | Gilberto J Martorell-marquez | Pediatrics | 11 Gable Court, Brunswick, GA 31525-6738 | 2006-08-16 |
| 1225079452 | Michael Townsend Cooper Jr. | Pediatrics | 3208 Shrine Rd, Brunswick, GA 31520-4325 | 2006-06-09 |
| 1376511634 | Lily A See | Pediatrics | 1839 Pearl Rd, Suite A-101, Brunswick, OH 44212 | 2006-03-10 |
| 1902886872 | Alyssa Goodwin | Pediatrics | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2006-01-18 |
| 1871579060 | Roderick F Luhn | Pediatrics | 650 Sewall Street, Branch Health Clinic Naval Air Station, Brunswick, ME 04011 | 2005-12-20 |
| Find all providers in BRUNSWICK | ||||
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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.