WILLARD STITZELL (NPI# 1548320971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548320971 |
| Entity Type | Individual |
| Full Name | WILLARD STITZELL |
| Credential | D.O. |
| Practice Address |
680 Hancock Pond Rd Sebago ME 04029-3015 |
| Mailing Address |
Po Box 249 Sebago ME 04029-0249 |
| Practice Telephone | 2075718585 |
| Practice Fax Number | 2075131069 |
| Mailing Telephone | 2075718585 |
| Mailing Fax Number | 2075131069 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
1148 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 166850099 | 05 | |
| HARVARD PILGRIM HEALTHCAR | E47521 | 01 | |
| NH | 20001672 | 05 | |
| ME | ANTHEM | 010847 | 01 |
| Street Address |
680 HANCOCK POND RD |
| City | SEBAGO |
| State | ME |
| Zip Code | 04029-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178456 | Willard M Stitzell, Do | Family Medicine | 680 Hancock Pond Rd, Sebago, ME 04029-3015 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245394014 | Enes D Moran Butts | Social Worker | 381 Bridgton Rd, Sebago, ME 04029 | 2006-12-19 |
| 1346667854 | Marcella T Hinkell | Health Maintenance Organization | 103 Peaked Mt, Sebago, ME 04029-0466 | 2014-03-21 |
| 1689073918 | Erica Anderson | Physical Therapist | 135 Peabody Pond Rd, Sebago, ME 04029-3221 | 2014-08-22 |
| 1881241156 | Sebago School Department | Local Education Agency (LEA) | 283 Sebago Rd, Sebago, ME 04029-3718 | 2019-08-21 |
| 1033426739 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 986 Sebago Rd, Sebago, ME 04029-3814 | 2010-09-02 |
| 1356351910 | Town of Sebago | Ambulance | 7 Pit Road, Sebago, ME 04029-9999 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881241156 | Sebago School Department | Local Education Agency (LEA) | 283 Sebago Rd, Sebago, ME 04029-3718 | 2019-08-21 |
| 1689073918 | Erica Anderson | Physical Therapist | 135 Peabody Pond Rd, Sebago, ME 04029-3221 | 2014-08-22 |
| 1346667854 | Marcella T Hinkell | Health Maintenance Organization | 103 Peaked Mt, Sebago, ME 04029-0466 | 2014-03-21 |
| 1033426739 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 986 Sebago Rd, Sebago, ME 04029-3814 | 2010-09-02 |
| 1245394014 | Enes D Moran Butts | Social Worker | 381 Bridgton Rd, Sebago, ME 04029 | 2006-12-19 |
| 1356351910 | Town of Sebago | Ambulance | 7 Pit Road, Sebago, ME 04029-9999 | 2006-08-08 |
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178456 | Willard M Stitzell, Do | Family Medicine | 680 Hancock Pond Rd, Sebago, ME 04029-3015 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275635047 | Michael Antony Jukes | Family Medicine | 119 Abner Point Rd, Bailey Island, ME 04003-2540 | 2006-09-02 |
| 1144242033 | John Francis Hussey Jr. | Family Medicine | 1 Va Ctr # 171, Augusta, ME 04330-6719 | 2006-07-23 |
| 1598743114 | Kelli B Mayfield | Family Medicine | 40 Glenridge Dr, Augusta, ME 04330-6606 | 2006-01-04 |
| 1114908415 | Philip Clarence Groce | Family Medicine | 321 Appleton Rd, Union, ME 04862-4824 | 2005-11-14 |
| 1295199453 | Carlen Smith | Family Medicine | 6 E Chestnut St, Augusta, ME 04330-5758 | 2016-04-13 |
| 1790122927 | Emily Livia Carter | Family Medicine | 66 Bramhall St, Portland, ME 04102-3344 | 2013-05-29 |
| 1134405319 | Penny Lamhut | Family Medicine | 9 Alumni Dr, Orono, ME 04473-3479 | 2011-11-01 |
| 1770868762 | Alexandra Jane Barr | Family Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2011-10-21 |
| 1285869420 | Chester C Suske | Family Medicine | 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 | 2009-05-18 |
| 1568615649 | Progressive Medical Care LLC | Family Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2008-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILLARD STITZELL.
| 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.