Active NPI
Jonathan Stabile, DO, MPH
- Aerospace Medicine Physician
- Fort Gordon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 9901328
- Practice address
- 300 Hospital Road
Hyperbaric Medicine Department
Fort Gordon, GA 30905-5650 - Phone
- (706) 787-3113
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 9901328 | NC | Primary |
Addresses
Primary practice location
300 Hospital Road
Hyperbaric Medicine Department
Fort Gordon, GA 30905-5650
Mailing address
300 Hospital Road
Hyperbaric Medicine Department
Fort Gordon, GA 30905-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9901328 | NC | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates PC | Current | Accepting new patients |
Locations
367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789
91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789
307 Plaza Dr
Dover, NH 03820
Phone (207) 775-4000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rehabilitation Medical Consultants
- Physical Medicine & Rehabilitation Physician
- Portland, ME
- NPI 1629430087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1043294788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOSPITAL ROAD",
"address_2": "HYPERBARIC MEDICINE DEPARTMENT",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL ROAD",
"address_2": "HYPERBARIC MEDICINE DEPARTMENT",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABILE",
"first_name": "JONATHAN",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "NC",
"license": "9901328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.