DR. STEPHEN M JENDZEJEC (NPI# 1447213939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447213939 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M JENDZEJEC |
| Credential | DO |
| Practice Address |
127 Long Sands Rd Suite 11 York ME 03909-1158 |
| Practice Telephone | 2073638430 |
| Practice Fax Number | 2073513006 |
| Mailing Telephone | 2073638430 |
| Mailing Fax Number | 2073513006 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2011-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1287 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STANDARD TAX ID | 010467585 | 01 | |
| CHAMPUS | 010467585 | 01 | |
| AETNA NONHMO GROUP | 596163 | 01 | |
| MACHIGONNE | 010467585 | 01 | |
| ANTHEM BCBS NEW HAMPSHIRE | YORK083565 | 01 | |
| ANTHEM BLUE CROSS BLUE SH | 010467585001 | 01 | |
| MEDICARE B | MM2427 | 01 | |
| ANTHEM BCBS NEW HAMPSHIRE | 0405236YPME01 | 01 | |
| AETNA HMO | 010467585 | 01 | |
| AETNA NONHMO | 010467585 | 01 | |
| ME | 283840099 | 05 | |
| RAILROAD MEDICARE | 080140515 | 01 | |
| ANTHEM BLUE CROSS BLUE SH | 003689 | 01 | |
| PRIMECARE MEDICAID | 283840099 | 01 | |
| CIGNA HEALTHCARE | 3646359 | 01 | |
| AETNA HMO GROUP | 596163 | 01 | |
| HARVARD PILGRIM | E10019 | 01 |
| Street Address |
127 LONG SANDS RD SUITE 11 |
| City | YORK |
| State | ME |
| Zip Code | 03909-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144662 | York Hospital | Home Health | 127 Long Sands Rd, Suite 12, York, ME 03909-1159 | 2005-12-13 |
| 1346852316 | Emma G Sturm | Physical Therapist | 127 Long Sands Rd, York, ME 03909-1158 | 2020-08-20 |
| 1124580857 | Elinor M Kurz | Nurse Practitioner | 127 Long Sands Rd, York, ME 03909-1158 | 2019-04-02 |
| 1417444647 | Ashley Mace | Nurse Practitioner | 127 Long Sands Rd, York, ME 03909-1158 | 2018-04-13 |
| 1699218107 | Jared Prugar | Physical Therapist | 127 Long Sands Rd, Suite 11, York, ME 03909-1158 | 2016-12-01 |
| 1700138112 | Merrimack Valley Hospice, Inc. | Hospice Care, Community Based | 127 Long Sands Rd, #12, York, ME 03909-1158 | 2012-10-09 |
| 1184975765 | Lauryn Legacy Frost | Family Medicine | 127 Long Sands Rd, Suite 11, York, ME 03909-1158 | 2012-09-24 |
| 1750678009 | Kathleen Ann Flora | Physical Therapist | 127 Long Sands Rd, Suite 11, York, ME 03909-1158 | 2011-07-07 |
| 1770803439 | Elizabeth S Robinson | Family Medicine | 127 Long Sands Rd, York, ME 03909-1158 | 2010-06-04 |
| 1689837957 | Candice Mcelroy | Family Medicine | 127 Long Sands Rd, Suite 11, York, ME 03909-1158 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295219780 | Ernest Lee Miller | Family Medicine | 27 Pecan Cir, York, SC 29745-1471 | 2018-09-20 |
| 1386164556 | Pinnacle Health Regional Physicians | Family Medicine | 2295 N Susquehanna Trl Ste A, York, PA 17404-8495 | 2017-06-20 |
| 1124491188 | Affinity Health Center | Family Medicine | 37 Pinckney St, York, SC 29745-1731 | 2015-11-12 |
| 1447653183 | Pa Enterprises | Family Medicine | 309 S, Lincoln Ave, York, NE 68467-4225 | 2014-10-08 |
| 1306281316 | Kenneth E. Yinger | Family Medicine | 1080 Elliott Lane, York, PA 17403 | 2013-05-03 |
| 1881935666 | Mark P Cartier Md PC | Family Medicine | 1 Brickyard Ln Ste Ee, York, ME 03909-1681 | 2013-03-04 |
| 1184918377 | Andrew R. Pohlmeier | Family Medicine | 2114 N Lincoln Ave Ste A, York, NE 68467-1072 | 2011-06-05 |
| 1053600569 | Frank Alfred Delia | Family Medicine | 1544 Heritage Ln, York, PA 17403-9030 | 2011-04-05 |
| 1659690246 | Brian D Allen | Family Medicine | 636 Evergreen Dr, York, PA 17402-8842 | 2010-05-22 |
| 1346566338 | Quincy O Harberger | Family Medicine | 1401 Roosevelt Ave, York, PA 17404-2244 | 2010-04-15 |
| Find all providers in YORK | ||||
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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.