Willard M Stitzell, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

1148 Issued in ME

Legal business name

WILLARD M STITZELL, DO

Practice address

680 Hancock Pond Rd
Sebago, ME 04029-3015

Phone

(207) 571-8585

Fax

(207) 571-8586

NPI assigned

Dec 8, 2006

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willard Stitzell, MDNPI 1548320971

Title

Owner and Provider

Phone

(207) 571-8585

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willard Stitzell, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Sebago, ME
  • NPI 1548320971
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1023178456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "SEBAGO",
            "state": "ME",
            "postal_code": "040290249",
            "telephone_number": "207-571-8585",
            "fax_number": "207-571-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HANCOCK POND RD",
            "city": "SEBAGO",
            "state": "ME",
            "postal_code": "040293015",
            "telephone_number": "207-571-8585",
            "fax_number": "207-571-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD M STITZELL, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "STITZELL",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-571-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Sanborn
• Sebago School Department
• Willard Stitzell, D.O.
• Town of Sebago (Sebago EMS)
• Catherine Lee Wiley-Farwell, BHP

• Geriatric Medicine (Family Medicine) Physician in Sebago, ME
• Providers in Sebago, ME by specialty
• Geriatric Medicine (Family Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.