Active NPI
Stephanie M Martyak, DO
- Family Medicine Physician
- Hallowell, ME
National Provider Identifier
1639381908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101017070
- Practice address
- 2 Choate LN
#106
Hallowell, ME 04347-1722 - Phone
- (207) 621-2444
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101017070 | MI | Primary |
Addresses
Primary practice location
2 Choate LN
#106
Hallowell, ME 04347-1722
Mailing address
2 Choate LN
Apt 106
Hallowell, ME 04347-1722
Phone (207) 621-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017070 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1639381908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHOATE LN",
"address_2": "APT 106",
"city": "HALLOWELL",
"state": "ME",
"postal_code": "043471722",
"telephone_number": "207-621-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHOATE LN",
"address_2": "#106",
"city": "HALLOWELL",
"state": "ME",
"postal_code": "043471722",
"telephone_number": "207-621-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYAK",
"first_name": "STEPHANIE",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101017070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallowell, ME
- Julie Libby, LCPCC
- Lynn Murphy, LCSW Counseling Services, LLC
- Todd C Macfarlane, LCPC
- Maine School Administrative District #16 (Msad #16)
- Dean Martin, LCPC LADC
- Kenneth McCullough, LADC, LCPC
- John Daniel Merrill, MSW
- Michael J Migliore, RPH., MS, LAC.
- Robert Mulliken, LCSW
- Nathan Richard Murray-James, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.