Stacey Lea Anderson (NPI# 1710990775, PAC ID# 5294627204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1710990775 |
| PAC ID by PECOS | 5294627204 |
| Professional Enrollment ID | I20180725002775 |
| Full Name | Stacey Lea Anderson |
| Organization Legal Name | REDINGTON-FAIRVIEW GENERAL HOSPITAL |
| Address |
46 Fairview Ave Suite 229 Skowhegan ME 04976-1481 |
| Phone Number | 2074747131 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1999 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9133018740 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201314 | REDINGTON FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 46 Fairview Ave, Suite 229, Skowhegan, ME 04976-1481 | 2074747131 | REDINGTON-FAIRVIEW GENERAL HOSPITAL |
| Organization Legal Name | REDINGTON-FAIRVIEW GENERAL HOSPITAL |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oto Prokop | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Victoria A Stannard | General Surgery | Redington-fairview General Hospital | 46 Fairview Ave, Suite 223, Skowhegan, ME 04976-1481 |
| Michael H Lambke | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Suite 334, Skowhegan, ME 04976-1481 |
| Timothy C Malyk | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Harry L Irving | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Ann Dorney | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Florello Sven-erik M Quianzon | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Jeffery Joseph Dorociak | Gastroenterology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Michael P Curran | Orthopedic Surgery | Redington-fairview General Hospital | 46 Fairview Ave, Suite 113, Skowhegan, ME 04976-1481 |
| Rattanaporn Mahatanan | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Street Address |
46 FAIRVIEW AVE SUITE 229 |
| City | SKOWHEGAN |
| State | ME |
| Zip | 04976-1481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oto Prokop | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Victoria A Stannard | General Surgery | Redington-fairview General Hospital | 46 Fairview Ave, Suite 223, Skowhegan, ME 04976-1481 |
| Michael H Lambke | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Suite 334, Skowhegan, ME 04976-1481 |
| Timothy C Malyk | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Harry L Irving | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Ann Dorney | Family Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Florello Sven-erik M Quianzon | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Jeffery Joseph Dorociak | Gastroenterology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Anthony C Vandyck | Diagnostic Radiology | Skowhegan Imaging Associates, P.a. | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Michael P Curran | Orthopedic Surgery | Redington-fairview General Hospital | 46 Fairview Ave, Suite 113, Skowhegan, ME 04976-1481 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Tyks | Chiropractic | 220 Madison Ave, Skowhegan, ME 04976-1356 | |
| Rattanaporn Mahatanan | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Ganna V Chugay | Anesthesiology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Suphagaphan Ratanamaneechat | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Tirunellai R Shankar | General Surgery | Redington-fairview General Hospital | 46 Fairview Ave, Suite 223, Skowhegan, ME 04976-1481 |
| Michael S Berry | Diagnostic Radiology | Skowhegan Imaging Associates, P.a. | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Kenneth L Raessler | Anesthesiology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Gina S Gomez | Internal Medicine | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Amir S Baig | Anesthesiology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Annette Goodman | Neurology | Redington-fairview General Hospital | 46 Fairview Ave, Skowhegan, ME 04976-1481 |
| Find all physicians in zip 04976 | |||
| City | SKOWHEGAN |
| Zip Code | 04976 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SKOWHEGAN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stacey Lea Anderson.
| 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.