Traci B Schilling, M.D.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

018172 Issued in ME

Practice address

180 Kennedy Memorial Dr
Suite 203
Waterville, ME 04901-4540

Phone

(207) 861-7050

Fax

(207) 861-7056

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Traci B Depalma Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ms Center of Northeastern New York, PC

  • Neurology Physician
  • Latham, NY
  • NPI 1750492740
  NPD (past)
• Neurological Consultants, P.C.

  • Neurology Physician
  • Bennington, VT
  • NPI 1386747335
  NPD (past)
• Neurological Diagnostic and Treatment Center Inc

  • Neurology Physician
  • Pittsfield, MA
  • NPI 1942311949
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1164565552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 203",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014540",
            "telephone_number": "207-861-7050",
            "fax_number": "207-861-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 203",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014540",
            "telephone_number": "207-861-7050",
            "fax_number": "207-861-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "TRACI",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "ME",
            "license": "018172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134021",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434423499",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013587",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "DEPALMA",
            "middle_name": "B",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Mari Sawai, N.D.
• SB Dental PLLC
• Donald L Schassberger, M.D.
• Emily Schatz, FNP
• Joanne Scheinost, CADC
• Deborah M Schleich, APN
• Ann Schoenthler-Ervin, PH.D
• Cindy Schumacher, LCSW
• Gary D. Schwartzberg, AUD, FAAA
• Sydney Scott, PA-C

• Clinical Neurophysiology Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Clinical Neurophysiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.