Jaroslav P Stulc, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

EL071025 Issued in ME

Practice address

151 North Ave
Suite 2
Skowhegan, ME 04976-2033

Phone

(207) 474-7045

Fax

(207) 474-5173

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1073502407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-474-5121",
            "fax_number": "207-474-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NORTH AVE",
            "address_2": "SUITE 2",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049762033",
            "telephone_number": "207-474-7045",
            "fax_number": "207-474-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULC",
        "first_name": "JAROSLAV",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "28325",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "EL071025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Angela Stanzel, PT, MS
• Vickie L. Staples, LMSW-CC
• Heather Lynn Stevens, AGNP-C
• Christopher Robert Stewart, DO
• Gust S Stringos, D.O.
• Craig Stutzman, SLPA
• Brooke A Sylvain, PHARM.D.
• Encyeh Tadayyon, MED, CAS
• Hidehiro Takematsu, PHARMD
• Cesar Tan, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.