John Barron Stallman II, PA-C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

PA1896 Issued in ME

Practice address

35 Walker St
Ste 200
Kittery, ME 03904-1727

Phone

(207) 351-3525

NPI assigned

Feb 15, 2006

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, NC, MA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstallman115707@capefearvalley.direct-ci.com
• Direct secure messaging: jstallmanpac387071@direct.atrius.masshiway.net

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.

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  Medicare reassignment Care Compare group
• Harnett Health System, Inc.

  dba Cape Fear Valley Cancer Center-Lillington

  • Hematology & Oncology Physician
  • Lillington, NC
  • NPI 1386121929
  Medicare reassignment NPD
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634

  Physician Assistant

  NPD
• Atrius Health, Inc.

  dba Granite Medical Group

  • Internal Medicine Physician
  • Quincy, MA
  • NPI 1558756759
  NPD
• Harnett Health System Inc

  dba Cape Fear Valley Lillington Pharmacy

  • Community/Retail Pharmacy
  • Lillington, NC
  • NPI 1184457277
  NPD
• Harnett Health System Inc

  dba Harnett Health Ear, Nose & Throat

  • Otolaryngology Physician
  • Dunn, NC
  • NPI 1629674106
  NPD
• Be Balanced, LLC

  dba Fyzical Portsmouth

  • Physical Therapy Clinic/Center
  • Portsmouth, NH
  • NPI 1003537812
  NPD (past)
• Ear Nose and Throat Specialists of Southern NH

  • Otolaryngology Physician
  • Manchester, NH
  • NPI 1447267638
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1144294117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WALKER ST STE 200",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041727",
            "telephone_number": "207-351-3525",
            "fax_number": "207-351-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WALKER ST",
            "address_2": "STE 200",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041727",
            "telephone_number": "207-351-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Canton St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033524",
            "country_code": "US",
            "telephone_number": "603-622-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLMAN",
        "first_name": "JOHN",
        "middle_name": "BARRON",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1896",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "PA1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Shea, PT
• Kimberlee Smith
• Nathan Raymond Smith
• Soothing Smiles Dental Hygiene
• Rae Lynn Stackpoole, OTR/L
• Jonathan David Sterns II, MD, MPH
• Carlene Moran Stillson, FNP
• Kristen Stout, LADC
• Tammy Paulus Svenson, LICSW
• Stephen T. Swallow, DDS

• Otolaryngology Physician in Kittery, ME
• Providers in Kittery, ME by specialty
• Otolaryngology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.
• 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.