Active NPIIndividual provider

Stacey L Anderson, MD

General Practice in Madison, Maine

NPI Number1710990775
Practice location
8 S Main St, Madison, ME 04950-4501
Fax
—
Last updated
May 2, 2024

Stacey Lea Anderson is a General Practice based in Madison, ME. Stacey Lea Anderson practices in Madison, ME and has the professional credentials of MD. The NPI Number for Stacey Lea Anderson is 1710990775 and holds a License No. MD22365 (ME). The current practice location address for Stacey Lea Anderson is 8 S Main St, Madison, ME 04950-4501 and can be reached out via phone at 207-696-3992.

Provider Profile Details

NPI Number
1710990775
Provider Name
Stacey Lea Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8 S Main St, Madison, ME 04950-4501
Phone Number
207-696-3992
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Other Names
Stacey Mclellan (Former Name)
Provider Enumeration Date
August 14, 2006
Last Update Date
May 2, 2024
Certification Date
May 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 S Main St
Madison, ME 04950-4501
State
Maine
Zip
04950-4501
Phone Number
207-696-3992
Madison, ME 04950Get directions →

Provider Business Mailing Address Details

Address
Po Box 727
Waterville, ME 04903-0727
City
Waterville
State
ME
Zip
04903-0727
Phone Number
207-696-3992

License Information

License Number (1)
MD22365
License State (1)
ME
Taxonomy (1)
General Practice · 208D00000X · Primary
License Number (2)
MD22365
License State (2)
ME
Taxonomy (2)
Obstetrics & Gynecology, Obstetrics · 207VX0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey L Anderson, MD?

The NPI number of Stacey L Anderson, MD is 1710990775. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacey L Anderson, MD?

Stacey L Anderson, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in ME under license number MD22365.

Where does Stacey L Anderson, MD practice?

The practice location is 8 S Main St, Madison, ME 04950-4501. The office can be reached at 207-696-3992 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710990775 directly on the NPPES registry website.

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