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Deactivated NPI 1164764510 Deactivated / Inactive NPI Female Practitioner

Dr. William Stubenbord , MD

Surgery • Old Saybrook, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Stubenbord has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 25, 2013
NPI Deactivation Date November 02, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. William Stubenbord, MD was a registered Surgery practicing in Old Saybrook, CT. Throughout an active medical career spanning 9 years, Dr. Stubenbord provided care at the practice location at 25 SUNSET RD until profile deactivation on 2022-11-02.

Practice Location & Contact Primary Location

Practice Address

25 Sunset Rd

Old Saybrook, CT 064752000

Telephone 8603881533

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Old Saybrook, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Old Saybrook, CT (388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 026615

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 02, 2022

Record deactivated on November 02, 2022

NPI Profile Active March 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2013

Registered at 25 SUNSET RD, OLD SAYBROOK, CT 064752000 (Tel: 8603881533)

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Updated Business Mailing Address March 25, 2013

Registered at 25 SUNSET RD, OLD SAYBROOK, CT 064752000 (Tel: 8603881533)

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Provider Name / Credentials Updated March 25, 2013

Recorded as WILLIAM STUBENBORD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2013

Surgery (License #026615 in CT)

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Initial NPI Registration & Enumeration March 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164764510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2013
Last Update: March 25, 2013
Deactivation Date: November 02, 2022

Mailing Address

25 Sunset Rd

Old Saybrook, CT 064752000

Phone: 8603881533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.