DR. KEVIN LEE STITELY (NPI# 1669453742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669453742 |
Entity Type | Individual |
Full Name | DR. KEVIN LEE STITELY |
Credential | MD |
Practice Address |
29466 Pintail Dr Suite 6 Easton MD 21601-9323 |
Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
Practice Telephone | 4108224220 |
Practice Fax Number | 4108224462 |
Mailing Telephone | 4434816538 |
Mailing Fax Number | 4434816515 |
Enumeration Date | 2005-11-07 |
Last Update Date | 2013-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D48064 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 852121200 | 05 | |
MD | CAREFIRST BLUECHOICE | E4810003 | 01 |
MD | MAMSI | 232884 | 01 |
Street Address |
29466 PINTAIL DR SUITE 6 |
City | EASTON |
State | MD |
Zip Code | 21601-9323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245229947 | Jennifer Miller Crouch | Audiologist | 29466 Pintail Dr, Ste 3, Easton, MD 21601-9323 | 2005-10-17 |
1922547520 | James Kelly | Psychiatry & Neurology | 29466 Pintail Dr, Suite 5, Easton, MD 21601-9323 | 2017-02-15 |
1306388897 | Midgard Anesthetics LLC Matthew Belzak Sole Mbr | Registered Nurse | 29466 Pintail Dr, Suite 8, Easton, MD 21601-9323 | 2016-11-15 |
1083093363 | Rc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 29466 Pintail Dr, Suite 8, Easton, MD 21601-9323 | 2015-05-20 |
1780859686 | Chesapeake Ear, Nose, Throat, Sinus &hearing Center, LLC | Audiologist | 29466 Pintail Dr, Easton, MD 21601-9323 | 2008-04-23 |
1538190228 | Daniel S. Smithpeter, Md | Psychiatric Hospital | 29466 Pintail Dr, Ste 9, Easton, MD 21601 | 2006-07-05 |
1780621037 | Chesapeake Ear,nose,throat, Sinus & Hearing Center, LLC | Otolaryngology | 29466 Pintail Dr, Suite 3, Easton, MD 21601-9323 | 2006-06-02 |
1063482362 | Emma Ikharo | Social Worker | 29466 Pintail Dr, Ste 9, Easton, MD 21601-9323 | 2006-01-26 |
1245216456 | Delmarva Family Resources | Counselor | 29466 Pintail Dr, Suite 9, Easton, MD 21601-9323 | 2005-12-20 |
1689650806 | Daniel S Smithpeter, M.d.,p.c. | Counselor | 29466 Pintail Dr, Suite 9, Easton, MD 21601-9323 | 2005-12-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003872474 | Gregory S Domer | Surgery | 3735 Nazareth Rd Ste 206, Easton, PA 18045-8346 | 2006-04-25 |
1174504260 | Stanley Marcer Bysshe Jr. | Surgery | 505 Dutchmans Ln, Building B, Easton, MD 21601-4302 | 2005-11-07 |
1871869982 | Khurram Rasheed | Surgery | 3735 Nazareth Rd Ste 206, Easton, PA 18045-8346 | 2012-03-23 |
1962446963 | Joel C Rosenfeld | Surgery | 3735 Nazareth Rd, Suite 206, Easton, PA 18045-8338 | 2006-06-16 |
1164466546 | James D Balshi | Surgery | 3735 Nazareth Rd, Suite 206, Easton, PA 18045-8338 | 2006-06-15 |
1295779692 | Jay B Fisher | Surgery | 3735 Nazareth Rd, Suite 206, Easton, PA 18045-8338 | 2006-06-15 |
1003857491 | Timothy C Oskin | Surgery | 3735 Nazareth Rd, Suite 206, Easton, PA 18045-8338 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
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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.