STEPHANIE GARTNER-FANBURG (NPI# 1619914587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619914587 |
| Entity Type | Individual |
| Full Name | STEPHANIE GARTNER-FANBURG |
| Credential | MD |
| Practice Address |
51 Sewall St Rheumatology Associates, Pa Portland ME 04102-2643 |
| Practice Telephone | 2077745761 |
| Practice Fax Number | 2078747478 |
| Mailing Telephone | 2077745761 |
| Mailing Fax Number | 2078747478 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
014882 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
51 SEWALL ST RHEUMATOLOGY ASSOCIATES, PA |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788659 | Brian J Keroack | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2005-08-26 |
| 1487885588 | Rheumatology Associates | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2009-08-06 |
| 1366616252 | Elizabeth D Evans | Physician Assistant | 51 Sewall St, Portland, ME 04102-2643 | 2008-04-22 |
| 1003098252 | Rheumatology Associates P.a. | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2007-11-29 |
| 1144420332 | Fore River Family Medicine, Pa | Family Medicine | 51 Sewall St, Portland, ME 04102-2643 | 2007-07-25 |
| 1508086083 | Edward Fels | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2007-04-26 |
| 1508834441 | Catherine Crute | Family Medicine | 51 Sewall St, Portland, ME 04102-2643 | 2006-03-08 |
| 1235122094 | Charles D Radis | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2005-08-26 |
| 1184617953 | Brian E Daikh | Specialist | 51 Sewall St, Portland, ME 04102-2643 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528295557 | Ajay Wanchu | Internal Medicine | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2009-06-17 |
| 1023229812 | Sarah Jan Lipton | Internal Medicine | 5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956 | 2007-05-24 |
| 1215035449 | Mollie E Thompson | Internal Medicine | 9155 Sw Barnes Rd Ste 314, Portland, OR 97225-6630 | 2006-09-20 |
| 1144295148 | Richard M Wernick | Internal Medicine | 5050 Ne Hoyt Street, Suite 155, Portland, OR 97213-2956 | 2006-02-22 |
| 1295732261 | Kip L Kemple | Internal Medicine | 2230 Nw Pettygrove, #120, Portland, OR 97210 | 2005-07-05 |
| 1316940075 | John W. Griffin | Internal Medicine | 10101 Se Main St, Ste 2001, Portland, OR 97216-2457 | 2005-05-24 |
| 1902200462 | Theodore Alexander Tsoukas | Internal Medicine | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2014-10-13 |
| 1255607545 | Marcia Alwina Friedman | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-30 |
| 1194014530 | Julianna Desmarais | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Mail Code Op09, Portland, OR 97239-3011 | 2011-04-06 |
| 1679862759 | Neha Rich-garg | Internal Medicine | 9155 Sw Barnes Rd, #314, Portland, OR 97225-6625 | 2011-03-29 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on STEPHANIE GARTNER-FANBURG.
| 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.