WILLARD STITZELL D.O. NPI 1548320971

NPI Information

  • NPI: 1548320971
  • Provider Name: WILLARD STITZELL, D.O.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 680 HANCOCK POND RD
    SEBAGO, ME
    ZIP 04029
  • Phone: (207) 571-8585

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NPI Details

Willard Stitzell, D.O. is a geriatric medicine family medicine in Sebago, ME. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Willard Stitzell, D.O. NPI is 1548320971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

680 HANCOCK POND RD
SEBAGO, ME
ZIP 04029-015
Phone: (207) 571-8585
Fax: (207) 513-1069

The NPI 1548320971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 9/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric Medicine1148MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E47521OTHERHARVARD PILGRIM HEALTHCAR
2080012841MEDICARE PINMAINE
3E47521MEDICARE UPINMAINE
420001672MEDICAIDNEW HAMPSHIRE
5MM2025MEDICARE PINMAINE
6166850099MEDICAIDMAINE
7010847OTHERMAINEANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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