Richard Stockwell, DO, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

RICHARD STOCKWELL, DO, LLC

Doing business as

Maine Proctology Center

Practice address

344 Cumberland St
Westbrook, ME 04092-2408

Phone

(207) 854-8200

Fax

(207) 854-8244

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Richard S Stockwell, DONPI 1275570541

Title

Owner/Provider

Phone

(207) 854-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maine Proctology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Sydney Stockwell, DO

  • Colon & Rectal Surgery Physician
  • Westbrook, ME
  • NPI 1275570541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1992982680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 2700",
            "address_2": "4 SCAMMON ST, SUITE 19",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-282-4704",
            "fax_number": "207-286-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CUMBERLAND ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922408",
            "telephone_number": "207-854-8200",
            "fax_number": "207-854-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD STOCKWELL, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "STOCKWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-854-8200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246680000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Proctology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Montague Reiter, LCSW
• Karen Ann Repasky, LCSW
• Thomas Wayne Reynolds, CADC
• Christopher Riccio, PHARMACIST
• Richard Steinmetz DPM
• Sydney Ricker, PA-C
• Ian C Riddell, LMSW
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04125)
• Rite Aid Pharmacy
• Riverview Physical Therapy Limited Partnership

• Colon & Rectal Surgery Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Colon & Rectal Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.