Stephen M Donnelly

DO | Pediatrics | Male

Stephen M Donnelly, DO is a Windham, Maine based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Stephen M Donnelly is 582 Roosevelt Trail, Windham, Maine - 04062-4904. He can be contacted on phone at 207-892-3233 and fax number 207-893-0752. Stephen M Donnelly is a sole proprietor of his business.
NPI number (Unique professional ID) for Stephen M Donnelly is 1063505782 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 12 Jun, 2012. Stephen M Donnelly license number is 1581 for Pediatrics (208000000X) in Maine.
Stephen M Donnelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephen M Donnelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Stephen M Donnelly
Credential :DO
Gender :Male
Business Address:
Stephen M Donnelly 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 :582 Roosevelt Trail
Windham, ME, 04062-4904
United States
Phone Number :207-892-3233
Fax Number :207-893-0752
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 : 1063505782
NPI Entity Type : Individual
First Enrolment Date : 02 Oct, 2006
Last Updated On : 12 Jun, 2012
Medicare Participation:
Stephen M Donnelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :0749222693
Medicare Enrollment ID :I20050601000633
Primary Specialty :Pediatric Medicine
Medical School :University Of New England, College Of Osteo Medicine
Graduation Year :1994
Accepts Medicare?Yes. Stephen M Donnelly accepts medicare insurance.
Group Practice Association:
Stephen M Donnelly 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 M Donnelly 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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Maine Medical Partners9335043967808584 Roosevelt Trl
Windham, ME - 040627302
Ph: 2078923233
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 M Donnelly are as mentioned. Primary taxonomy code for Stephen M Donnelly, DO is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes1581ME
Legacy Identifiers:
Other legacy medical identifiers of Stephen M Donnelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
254690099MEDICAIDME
30226080MEDICAIDNH
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 :301 Us Route 1, Building C
Scarborough, ME, 04074-7609
United States
Phone Number :207-396-8600
Fax Number :207-396-8632
Business Location:
Patients can refer following map for directions to Stephen M Donnelly practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.