John Stedman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

839 Issued in ME

Practice address

250 Anderson St
Portland, ME 04101-2545

Phone

(207) 775-5671

Fax

(207) 871-1243

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Catholic Charities Maine

  • Clinical Social Worker
  • Portland, ME
  • NPI 1013955947
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1710038096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ANDERSON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012545",
            "telephone_number": "207-775-5671",
            "fax_number": "207-871-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ANDERSON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012545",
            "telephone_number": "207-775-5671",
            "fax_number": "207-871-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDMAN",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M3330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155860099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "767587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTINS POINT HEALTHCARE",
            "identifier": "27205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "D93041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Matthew Statman, M.D.
• Kathleen E Stawarz, LCSW
• Steady State LLC
• Victoria Stearns, ATC
• Katherine Elizabeth Stebbins, PA-C
• Benjamin Herman Steele, DPT
• Christopher Jay Steen, MD
• Kyle T Steen, CRNA
• Nancy Steeves, MS CCCA
• Andreas Stefan, M.D.

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.