Individual provider Active NPI

Stuart N Damon, D.O.

  • Family Medicine Physician
  • Boothbay Harbor, ME
National Provider Identifier
1841383734
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1855 Issued in ME
Practice address
185 Townsend Ave
Boothbay Harbor, ME 04538-1894
Phone
(207) 633-1075
Fax
(877) 492-1491
NPI assigned
Oct 2, 2006
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1855 ME
Family Medicine Physician 207Q00000X DO1855 ME Primary

Addresses

Primary practice location

185 Townsend Ave
Boothbay Harbor, ME 04538-1894

Mailing address

147 Middle Rd
Falmouth, ME 04105-1227
Phone (207) 956-2149

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
I20050512000205 ME Practitioner - Family Practice 1557301223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Islands Community Medical Services IncGroup PAC ID 9638088115, 6 clinicians

Practice addresses (Care Compare)

15 Medical Ctr Loop
Vinalhaven, ME 04863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1855MEMDEmergency Medicine Physician
DO1855MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy J. Oliphant MD PA Family Medicine CurrentSince Apr 25, 2022 Accepting new patients
Boothbay Region Health Care Inc Family Medicine CurrentSince Apr 25, 2022 Accepting new patients
Mainehealth Past Accepting new patients
Penobscot Valley Hospital Past Accepting new patients
Mainehealth PastSince Aug 1, 2007 Accepting new patients

Locations

185 Townsend Ave
Ste R
Boothbay Hbr, ME 04538
Phone (207) 633-1075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1841383734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MIDDLE RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051227",
            "telephone_number": "207-956-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381894",
            "telephone_number": "207-633-1075",
            "fax_number": "877-492-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "STUART",
        "middle_name": "N",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "1855",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO1855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

Verify at the official NPI Registry.