Individual provider Active NPI

Richard Sydney Stockwell, DO

  • Colon & Rectal Surgery Physician
  • Westbrook, ME
National Provider Identifier
1275570541
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
1589 Issued in ME
Practice address
344 Cumberland St
Westbrook, ME 04092-2408
Phone
(207) 854-8200
Fax
(207) 854-8244
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 1589 ME Primary

Addresses

Primary practice location

344 Cumberland St
Westbrook, ME 04092-2408

Mailing address

4 Scammon St
Suite 19
Saco, ME 04072-5121
Phone (207) 282-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000255 ME Practitioner - Colorectal Surgery (Proctology) 9537114277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of New England, College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

344 Cumberland St
Westbrook, ME 04092-2408
Phone (207) 854-8200

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1589MEMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Stockwell, DO, LLC Colon & Rectal Surgery CurrentSince Mar 7, 2005 Accepting new patients
Southern Maine Gastroenterology, LLC Colon & Rectal Surgery Past Accepting new patients
Mercy Hospital Past Accepting new patients
University of New England Past Accepting new patients

Locations

24 W Cole Rd
#A
Biddeford, ME 04005

4 Scammon St
Ste 19
Saco, ME 04072
Phone (800) 293-1606

344 Cumberland St
Westbrook, ME 04092
Phone (207) 854-8200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1275570541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCAMMON ST",
            "address_2": "SUITE 19",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040725121",
            "telephone_number": "207-282-4704",
            "fax_number": "207-284-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CUMBERLAND ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922408",
            "telephone_number": "207-854-8200",
            "fax_number": "207-854-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "RICHARD",
        "middle_name": "SYDNEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.