Provider Demographics
NPI:1689779092
Name:BARTER, STEPHEN ROSS (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ROSS
Last Name:BARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1515
Mailing Address - Street 2:4 MESERVE ST
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055
Mailing Address - Country:US
Mailing Address - Phone:207-693-3912
Mailing Address - Fax:207-693-3453
Practice Address - Street 1:4 MESERVE STREET
Practice Address - Street 2:NAPLES PROFESSIONAL CENTER
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055
Practice Address - Country:US
Practice Address - Phone:207-693-3912
Practice Address - Fax:207-693-3453
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2024-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME11337207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME000173OtherANTHEM STAR ID
ME203770000Medicaid
BA015520Medicare ID - Type Unspecified
ME203770000Medicaid