JERRY T STALEY (NPI# 1144256843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144256843 |
| Entity Type | Individual |
| Full Name | JERRY T STALEY |
| Credential | MD |
| Practice Address |
55 Middle St Augusta ME 04330-5728 |
| Practice Telephone | 2076299488 |
| Practice Fax Number | 2076228796 |
| Mailing Telephone | 2076299488 |
| Mailing Fax Number | 2076228796 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2002023337 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | P00283188 | 01 |
| Street Address |
55 MIDDLE ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366958258 | Lyndsey Patton | Nurse Practitioner | 55 Middle St, Augusta, ME 04330-5728 | 2017-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578531406 | Alan D M Ross | Physical Medicine & Rehabilitation | 147 Riverside Dr, Ste 1, Augusta, ME 04330-4100 | 2006-03-08 |
| 1447257811 | Pamela Barber Salazar | Physical Medicine & Rehabilitation | 630 13th St, Suite 10, Augusta, GA 30901-1015 | 2005-06-30 |
| 1588214977 | Alexander S Elsen | Physical Medicine & Rehabilitation | 1350 Walton Way, Augusta, GA 30901-2629 | 2019-09-17 |
| 1053883710 | Spine Center Augusta, LLC | Physical Medicine & Rehabilitation | 501 Furys Ferry Rd, Augusta, GA 30907-9059 | 2018-12-19 |
| 1487178646 | Jonathan Eidman | Physical Medicine & Rehabilitation | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2017-07-31 |
| 1215388327 | Greenwood Medical Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2016-06-29 |
| 1366858995 | Hammad Aslam | Physical Medicine & Rehabilitation | 1120 15th St, Augusta, GA 30912-0004 | 2014-07-02 |
| 1316211543 | Brandi Lynn Wiseman | Physical Medicine & Rehabilitation | 442 Civic Center Dr, Augusta, ME 04330-8572 | 2012-03-06 |
| 1245526474 | American Rehabilitation Associates | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-06-27 |
| 1922234970 | James Craig Wilson | Physical Medicine & Rehabilitation | 442 Civic Center Dr, Augusta, ME 04330-7902 | 2009-06-04 |
| Find all providers in AUGUSTA | ||||
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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.