DR. STEPHEN M WALSH (NPI# 1386690501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386690501 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M WALSH |
| Credential | MD |
| Practice Address |
78 Ridgewood Dr Bangor ME 04401-2652 |
| Practice Telephone | 2079478381 |
| Practice Fax Number | 2079471897 |
| Mailing Telephone | 2079478381 |
| Mailing Fax Number | 2079471897 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
17389 | ME | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036115376 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00460654 | 01 | |
| ME | 432654299 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906829 | Stephen Robert Walsh | Dentist | 1840 Woodmoor Dr, Monument, CO 80132-9091 | 2006-08-07 |
| 1548633886 | Stephen Walsh | Community/Behavioral Health | 2974 E Main Rd, Portsmouth, RI 02871-4232 | 2015-11-09 |
| 1205060217 | Stephen Gerard Walsh | Student in an Organized Health Care Education/Training Program | 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 | 2009-05-05 |
| 1467692806 | Stephen John Walsh | Psychiatry & Neurology | 337 Spruce St, San Francisco, CA 94118 | 2009-02-25 |
| 1407828098 | Stephen R Walsh | Internal Medicine | 55 Fruit St, Grj 504, Infectious Disease Unit, Boston, MA 02114-2621 | 2006-02-07 |
| Street Address |
78 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153293 | P. Gregory Askins | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-06-09 |
| 1811310485 | Jesse Jandreau | Physical Therapist | 78 Ridgewood Dr, Bangor, ME 04401 | 2014-02-01 |
| 1679913792 | Karis Ann Filteau | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-07-03 |
| 1417240508 | Joshua Vaughn | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401 | 2011-05-23 |
| 1942509161 | Antonios Tsismenakis | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2011-03-28 |
| 1962714246 | Claire Costanza | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2010-07-02 |
| 1942537402 | Carolyn Pollard Savage | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-11-04 |
| 1720244262 | Jacob David Brooks | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-08-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863769 | David Newman | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2016-11-14 |
| 1659651214 | Jason Bourque | Orthopaedic Surgery | 358 Broadway, Suite 202, Bangor, ME 04401-3985 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746426 | Brian J Mcgrory | Orthopaedic Surgery | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-08-10 |
| 1740281625 | Donald P Endrizzi | Orthopaedic Surgery | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-08-02 |
| 1972502961 | Michael W Becker | Orthopaedic Surgery | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-07-20 |
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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.