Stephen S. Digiovanni

M.D. | Pediatric Adolescent Medicine | Male

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Complete Profile:

Stephen S. Digiovanni basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Stephen S. Digiovanni
Credential :	M.D.
Gender :	Male

Business Address:

Stephen S. Digiovanni address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	22 Bramhall St Portland, ME, 04102-3134 United States
Phone Number :	207-662-6179

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1649365016
NPI Entity Type :	Individual
First Enrolment Date :	03 Oct, 2006
Last Updated On :	14 Feb, 2013

Medicare Participation:

Stephen S. Digiovanni participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7517282163
Medicare Enrollment ID :	I20150203000550
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1996
Accepts Medicare?	Yes. Stephen S. Digiovanni accepts medicare insurance.

Group Practice Association:

Stephen S. Digiovanni is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stephen S. Digiovanni is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Maine Medical Partners	9335043967	808	1 Harnois Ave Westbrook, ME - 040924399	Yes
Maine Medical Partners	9335043967	808	22 Bramhall St Portland, ME - 041023134 Ph: 2076622911	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen S. Digiovanni are as mentioned. Primary taxonomy code for Stephen S. Digiovanni, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	015471	ME

Legacy Identifiers:

Other legacy medical identifiers of Stephen S. Digiovanni such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
000203060	MEDICAID	ME

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	137 Emery St Portland, ME, 04102-3731 United States
Phone Number :	207-415-9584

Business Location:

Patients can refer following map for directions to Stephen S. Digiovanni practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.