Diane Stoller (NPI# 1134207160, PAC ID# 0648207720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1134207160 |
| PAC ID by PECOS | 0648207720 |
| Professional Enrollment ID | I20161010001438 |
| Full Name | Diane Stoller |
| Organization Legal Name | MERCY HOSPITAL |
| Address |
195 Fore River Pkwy Suite 250 Portland ME 04102-2784 |
| Phone Number | 2075536800 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6103737812 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200008 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Fore River Pkwy, Suite 250, Portland, ME 04102-2784 | 2075536800 | MERCY HOSPITAL |
| Organization Legal Name | MERCY HOSPITAL |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Catherine Sanders | Nurse Practitioner | Mercy Hospital | 409 Roosevelt Trl, Windham, ME 04062-4821 |
| Molly Omalley | Family Medicine | Mercy Hospital | 385 Route 1, Yarmouth, ME 04096-6729 |
| Regina Y Kim | Family Medicine | Mercy Hospital | 75 Gray Rd, Falmouth, ME 04105-2010 |
| Brian D Moore | Hospitalist | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Melissa N Libby | Nurse Practitioner | Mercy Hospital | 19 S Gorham Xing, Gorham, ME 04038-2690 |
| Marc S Hoffman | Emergency Medicine | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| James J Richard | Nurse Practitioner | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Ben L Russell | General Surgery | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Danielle J Wood | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| John Mladucky | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Street Address |
195 FORE RIVER PKWY SUITE 250 |
| City | PORTLAND |
| State | ME |
| Zip | 04102-2784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Frothingham | Osteopathic Manipulative Medicine | Hospital Osteopathic Manipulative Medicine PC | 195 Fore River Pkwy, Suite 470, Portland, ME 04102-2787 |
| Chelsea R Michaud | Internal Medicine | Allergy and Asthma Associates of Maine | 195 Fore River Pkwy, Suite 410, Portland, ME 04102-2788 |
| Elaine M Cadorette | Physician Assistant | Allergy and Asthma Associates of Maine | 195 Fore River Pkwy, Suite 410, Portland, ME 04102-2788 |
| Ivan Cardona | Allergy/immunology | Allergy and Asthma Associates of Maine | 195 Fore River Pkwy, Suite 410, Portland, ME 04102-2788 |
| Bonnie J Sendzicki | Osteopathic Manipulative Medicine | Hospital Osteopathic Manipulative Medicine PC | 195 Fore River Pkwy, Suite 470, Portland, ME 04102-2787 |
| Denise Viekman | Nurse Practitioner | Allergy and Asthma Associates of Maine | 195 Fore River Pkwy, Suite 410, Portland, ME 04102-2788 |
| Karly Bishop | Family Medicine | Hospital Osteopathic Manipulative Medicine PC | 195 Fore River Pkwy, Suite 470, Portland, ME 04102-2787 |
| Joanna M Wawrzycki | Obstetrics/gynecology | Mercy Hospital | 195 Fore River Pkwy, Suite 310, Portland, ME 04102-2785 |
| David D Keller | Family Medicine | 195 Fore River Pkwy, Suite 470, Portland, ME 04102-2787 | |
| Iris Savernik | Osteopathic Manipulative Medicine | Hospital Osteopathic Manipulative Medicine PC | 195 Fore River Pkwy, Suite 470, Portland, ME 04102-2787 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecily S Whiting | Emergency Medicine | Mainehealth | 335 Brighton Ave, Portland, ME 04102-0600 |
| Leah Diane Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Alexandra Rae Grotton | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Peter E Hall | Optometry | Cornerbrook Plaza Eye Care P A | 1040 Brighton Ave, Portland, ME 04102-1030 |
| Jane D Mcnally | Hospitalist | 650 Brighton Ave, Portland, ME 04102-1035 | |
| Brianna Mcelligott | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Kevin T Baker | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Hannah Peabody | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Branden George | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Paul M Brown | Physical Therapy | Back In Motion Physical Therapy LLC | 1041 Brighton Ave, Portland, ME 04102-1042 |
| Find all physicians in zip 04102 | |||
| City | PORTLAND |
| Zip Code | 04102 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PORTLAND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Diane Stoller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.