| Coastal Orthopedics & Sports Medicine | |
|
14 Thomas Point Road Brunswick ME 04011 | |
| (207) 442-0325 | |
| (207) 443-4578 |
| Full Name | Coastal Orthopedics & Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 14 Thomas Point Road, Brunswick, Maine |
| Authorized Official Name and Position | Stephen Katz (OWNER) |
| Authorized Official Contact | 2074420325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Orthopedics & Sports Medicine 14 Thomas Point Road Brunswick ME 04011 Ph: (207) 442-0325 | Coastal Orthopedics & Sports Medicine 14 Thomas Point Road Brunswick ME 04011 Ph: (207) 442-0325 |
| NPI Number | 1912009416 |
|---|---|
| Provider Enumeration Date | 09/04/2006 |
| Last Update Date | 11/22/2023 |
| Medicare PECOS PAC ID | 1355393547 |
|---|---|
| Medicare Enrollment ID | O20050727000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912009416 | NPI | - | NPPES |
| 127980000 | Medicaid | ME |
| Provider Name | Stephen D Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932178415 PECOS PAC ID: 2961447230 Enrollment ID: I20050627001170 |
| Provider Name | Karmen K Blackstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962471888 PECOS PAC ID: 1254346638 Enrollment ID: I20060208000584 |
| Provider Name | Kristen J Schroeder-cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770703811 PECOS PAC ID: 9931298668 Enrollment ID: I20071204000346 |
| Provider Name | Mark Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194794677 PECOS PAC ID: 1153373345 Enrollment ID: I20100210000494 |
| Provider Name | Alisa A Siulinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528684842 PECOS PAC ID: 4082030317 Enrollment ID: I20200818001967 |
| Provider Name | Michael Kulju |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942684873 PECOS PAC ID: 2668785650 Enrollment ID: I20201130002996 |
| Provider Name | John M Seely |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205360492 PECOS PAC ID: 3577834027 Enrollment ID: I20220717000018 |
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