JAROSLAV P STULC (NPI# 1073502407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073502407 |
| Entity Type | Individual |
| Full Name | JAROSLAV P STULC |
| Credential | M.D. |
| Practice Address |
151 North Ave Suite 2 Skowhegan ME 04976-2033 |
| Mailing Address |
Po Box 468 Skowhegan ME 04976-0468 |
| Practice Telephone | 2074747045 |
| Practice Fax Number | 2074745173 |
| Mailing Telephone | 2074745121 |
| Mailing Fax Number | 2074749261 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | EL071025 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 28325 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
151 NORTH AVE SUITE 2 |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| Find all providers in zip 04976 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124096557 | Victoria Ann Stannard | Surgery | 46 Fairview Ave Ste 223, Skowhegan, ME 04976-1481 | 2006-03-10 |
| 1790040780 | Juan Manuel Febres Valecillos | Surgery | 46 Fairview Ave Ste 223, Skowhegan, ME 04976-1481 | 2012-07-06 |
| 1780700856 | Tirunellai Ranganathan Shankar | Surgery | 46 Fairview Ave Ste 223, Skowhegan, ME 04976-1481 | 2007-03-21 |
| 1639285422 | Jose D Demoya | Surgery | 46 Fairview Ave, Suite 223, Skowhegan, ME 04976-1481 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
| Find all providers with the same taxonomy | ||||
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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.