DR. STEPHEN MATURO (NPI# 1720065295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720065295 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MATURO |
| Credential | MD |
| Practice Address |
1250 Forest Ave Ste 301 Portland ME 04103-1884 |
| Mailing Address |
3851 Roger Brooke Dr Brooke Army Medical Center/ Mche-qd/credentials Fort Sam Houston TX 78234-4501 |
| Practice Telephone | 2077975753 |
| Practice Fax Number | 2077979571 |
| Mailing Telephone | 2109162504 |
| Mailing Fax Number | 2109161247 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD22447 | ME | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 01056203A | IN | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
P0440 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1250 FOREST AVE STE 301 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649782830 | Sarah Roop | Nurse Practitioner | 1250 Forest Ave Ste 301, Portland, ME 04103-1884 | 2017-10-29 |
| 1942743463 | Tiffany Bossie | Audiologist | 1250 Forest Ave Ste 301, Portland, ME 04103-1884 | 2016-12-01 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1114152600 | Jeffrey A. Weihing | Audiologist | 1250 Forest Ave Ste 301, Portland, ME 04103-1884 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| 1598968380 | Jeremiah Andrew Alt | Otolaryngology | 3303 Sw Bond Ave # Ch5e, Portland, OR 97239-3098 | 2007-06-07 |
| 1598835688 | Portland Ear Nose & Throat | Otolaryngology | 10535 Ne Glisan, #350, Portland, OR 97220 | 2006-11-08 |
| 1871674374 | Suzanne Cleland Zamudio Md PC | Otolaryngology | 501 N. Graham, #455, Portland, OR 97227 | 2006-10-18 |
| 1689769028 | Ericka Francine King | Otolaryngology | 3181 Sw Sam Jackson Park Rd. Pv-01, Portland, OR 97225 | 2006-10-03 |
| 1295745198 | Charles Leo Kaluza | Otolaryngology | 2816 Se Steele St, Portland, OR 97202-4525 | 2006-08-09 |
| Find all providers in PORTLAND | ||||
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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.