Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063505782 Individual Practitioner Male Practitioner

Dr. Stephen M Donnelly , DO

Pediatrics • Windham, ME

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Donnelly, DO is a registered healthcare professional specializing in Pediatrics in Windham, ME. Practice services are available at 582 ROOSEVELT TRAIL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

582 Roosevelt Trail

Windham, ME 040624904

Telephone 2078923233
Fax 2078930752
Associated Practice Facility / Clinic
🏢 Maine Medical Partners Facility NPI 1144245028

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Windham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Windham, ME (319 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ME 1581

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
254690099 (ME)
Medicaid State Provider ID
30226080 (NH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Olga Sill , FNP

Nurse Practitioner - Family

NPI 1013548650

Family Nurse Practitioner

Dr. Emily Nixon , MD

Internal Medicine

NPI 1083236459

Doctor of Medicine (M.D.)

Sarah Cote , ANP

Nurse Practitioner

NPI 1215225362

Adult Nurse Practitioner

Samantha Bickford , PA-C

Physician Assistant

NPI 1225636947

Physician Assistant (Certified)

Steven Aiello , PA-C

Physician Assistant

NPI 1235601329

Physician Assistant (Certified)

Mary Horn , LCPC

Counselor - Mental Health

NPI 1336024504

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2012

Registered at 582 ROOSEVELT TRAIL, WINDHAM, ME 040624904 (Tel: 2078923233)

📍
Updated Business Mailing Address June 12, 2012

Registered at 301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 040747609 (Tel: 2073968600)

👤
Provider Name / Credentials Updated June 12, 2012

Recorded as STEPHEN DONNELLY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2012

Pediatrics (License #1581 in ME)

🟢
Initial NPI Registration & Enumeration October 02, 2006

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: 1063505782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: June 12, 2012
Sole Proprietor: No

Mailing Address

301 Us Route 1, Building C

Scarborough, ME 040747609

Phone: 2073968600

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.