Organization Active NPI

Stuart N Damon DO Medical Services PLLC

Doing business as DMS PLLC

  • Hospitalist Physician
  • Portland, ME
National Provider Identifier
1366783383
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO 1855 Issued in ME
Legal business name
STUART N DAMON DO MEDICAL SERVICES PLLC
Doing business as
DMS PLLC
Practice address
335 Brighton Ave
Portland, ME 04102-2363
Phone
(207) 956-0740
Fax
(855) 567-5667
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Stuart N Damon, DO
Title
President
Phone
(207) 956-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X DO 1855 ME Primary

Addresses

Primary practice location

335 Brighton Ave
Portland, ME 04102-2363

Mailing address

143 Falmouth Rd
Home Office
Falmouth, ME 04105
Phone (207) 956-0740

Other identifiers 1

IdentifierTypeStateIssuer
ME130904OtherMEMEDICARE

Other names 1

  • DMS PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1366783383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FALMOUTH RD",
            "address_2": "HOME OFFICE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-956-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022363",
            "telephone_number": "207-956-0740",
            "fax_number": "855-567-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART N DAMON DO MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-956-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "DO 1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ME130904",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.