Active NPI
Stuart N Damon, D.O.
- Family Medicine Physician
- Boothbay Harbor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1855
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1855 | ME | MD | Emergency Medicine Physician |
| DO1855 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy J. Oliphant MD PA | Family Medicine | Current | Accepting new patients |
| Boothbay Region Health Care Inc | Family Medicine | Current | Accepting new patients |
| Mainehealth | Past | Accepting new patients | |
| Penobscot Valley Hospital | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
185 Townsend Ave
Ste R
Boothbay Hbr, ME 04538
Phone (207) 633-1075
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
- 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.
-
dba Islands Community Medical Center
- Federally Qualified Health Center (FQHC)
- Vinalhaven, ME
- NPI 1265460794
-
dba Boothbay Region Health Center
- Family Medicine Physician
- Boothbay Harbor, ME
- NPI 1487179669
-
- Family Medicine Physician
- Boothbay Harbor, ME
- NPI 1326229741
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.