Martha D Stewart (NPI# 1972575520, PAC ID# 3779526918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972575520 |
| PAC ID by PECOS | 3779526918 |
| Professional Enrollment ID | I20050608000376 |
| Full Name | Martha D Stewart |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Address |
59 Bangor St Houlton ME 04730-1740 |
| Phone Number | 2075282285 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 4880659903 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201308 | HOULTON REGIONAL HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 59 Bangor St, Houlton, ME 04730-1740 | 2075282285 | KATAHDIN VALLEY HEALTH CENTER |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Long | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Ross A Levesque | Physical Therapy | Katahdin Valley Health Center | 529 S Patten Rd, Patten, ME 04765-3007 |
| Richard T Chin | Optometry | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Danhong Zhao | Psychiatry | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Jaymie F St. Peter | Nurse Practitioner | Katahdin Valley Health Center | 33 Walker St, Ashland, ME 04732-3429 |
| Henry J Roy Iii | Internal Medicine | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Jean M Hamlin | Family Medicine | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Lee M Malvin | Clinical Social Worker | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Porsche D.a Holcomb | Clinical Social Worker | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Street Address |
59 BANGOR ST |
| City | HOULTON |
| State | ME |
| Zip | 04730-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Long | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Lisa Nielsen | Family Medicine | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Robert Lemoine | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Mari-anne Rivera | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Joan L Haines | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin V Thompson | Clinical Psychologist | 2 Water St, Suite 8, Houlton, ME 04730-0957 | |
| Amie J Belyea | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Kiley L Henderson | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Ryan Jj Thurston | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Peter J Madore | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Amanda N Saucier | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Jessica M Philbrook | Optometry | 29 Military St B, Houlton, ME 04730-1713 | |
| Chester Husted | Orthopedic Surgery | 22 Hartford St, Suite 400, Houlton, ME 04730-1853 | |
| Suzanne Costallos | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| David L Goodrich | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| Find all physicians in zip 04730 | |||
| City | HOULTON |
| Zip Code | 04730 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOULTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Martha D Stewart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.