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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1003892605 | 05 |
Street Address |
195 FORE RIVER PKWY STE 407 |
City | PORTLAND |
State | ME |
Zip Code | 04102-2780 |
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 |
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 Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
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 |
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 |
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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.