Stemple D Johnson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12197 Issued in ME

Practice address

331 Maine St
Suite 23
Brunswick, ME 04011-3358

Phone

(207) 729-0134

Fax

(207) 729-6626

NPI assigned

Jan 5, 2007

Last updated

May 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Loma Linda University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjohnson364082@direct.mmc.mainehealth.org

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Health and Nursing Services

  dba CHANS Home Health & Hospice

  • Community Based Hospice Care Agency
  • Brunswick, ME
  • NPI 1407906779

  Corporate Director

  CMS ownership
• Community Health and Nursing Services

  dba CHANS Home Health & Hospice

  • Home Health Agency
  • Brunswick, ME
  • NPI 1609923747

  Corporate Director

  CMS ownership
• Mid Coast Geriatric Services Corp

  dba Mid Coast Senior Health

  • Skilled Nursing Facility
  • Brunswick, ME
  • NPI 1396726501

  Corporate Director, Trustee of the SNF

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment Care Compare group NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1023165487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE ST",
            "address_2": "SUITE 23",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113358",
            "telephone_number": "207-729-0134",
            "fax_number": "207-729-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAINE ST",
            "address_2": "SUITE 23",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113358",
            "telephone_number": "207-729-0134",
            "fax_number": "207-729-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEMPLE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "12197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338440099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Rae Johantgen-Brown, DAOM, L.AC
• John F McGeough, MD
• Aaron Thomas Johnson, LADC, CCS
• Barbara Willman Johnson, LCSW
• Eileen W. Johnson, LCSW
• Theresa Johnson, PT
• John Johnstone, DO
• Ryan Scott Jones, CADC
• Benjamin Jorgensen
• Elnora Joseph-Bijhouwer, LCSW

• Surgery Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.