STEPHEN R GOLDBAS


Address: 195 Fore River Pkwy Ste 407, Portland, ME 04102-2780
Phone: 2077496612

STEPHEN R GOLDBAS (NPI# 1003892605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003892605
Entity Type Individual
Full Name STEPHEN R GOLDBAS
Credential D.O.
Practice Address 195 Fore River Pkwy Ste 407
Portland
ME 04102-2780
Mailing Address 174 S Freeport Rd
Freeport
ME 04032-6145
Practice Telephone 2077496612
Practice Fax Number 2077474077
Mailing Telephone 8552393556
Mailing Fax Number 2075125909
Enumeration Date 2005-12-16
Last Update Date 2020-10-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM 1678 ME Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 1678 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 1003892605 05

Office Location

Street Address 195 FORE RIVER PKWY STE 407
City PORTLAND
State ME
Zip Code 04102-2780

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164059978 Whole Health Osteopathic Medicine Neuromusculoskeletal Medicine & OMM 195 Fore River Pkwy Ste 407, Portland, ME 04102-2780 2020-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720614449 Keith Turner Slicho, Do, PC Neuromusculoskeletal Medicine & OMM 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 2020-03-13
1417428848 David D Keller Do PC Neuromusculoskeletal Medicine & OMM 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 2018-12-11
1548402811 Juliette Sophie Preston Neuromusculoskeletal Medicine & OMM 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 2009-04-01
1891871455 Gregory John Esmer Neuromusculoskeletal Medicine & OMM 4039 N Mississippi Ave Ste 203, Portland, OR 97227-1477 2006-10-27
1275622318 William James Bernstein Neuromusculoskeletal Medicine & OMM 3710 Us Veterans Hosp Rd # 417, Portland Vamc, Portland, OR 97239 2006-10-12
1023103934 James L Cook Neuromusculoskeletal Medicine & OMM 2814 Se Steele St # 7, Portland, OR 97202-4525 2006-10-04
1497768964 Yuri Hiranuma Neuromusculoskeletal Medicine & OMM 1312 E Burnside St, Portland, OR 97214-1424 2006-08-14
1871539247 Alicia Smilowicz Neuromusculoskeletal Medicine & OMM 466 Ocean Ave, 1st Floor, Portland, ME 04103-5718 2006-06-22
1043254378 Keith W Kale Neuromusculoskeletal Medicine & OMM 10748 Ne Halsey St, Portland, OR 97220-3961 2006-06-16
1043257561 Adi Michelle Philpott Neuromusculoskeletal Medicine & OMM 37 Leonard St, Portland, ME 04103-2512 2006-06-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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