MEDICARE: STACIE J NOBLE-SHRIVER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	202501	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053318899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACIE J NOBLE-SHRIVER M.D.

Provider Business Mailing Address
First Line	:	ONE HOSPITAL ROAD
Second Line	:
City	:	OAK BLUFFS
State	:	MA
Zip	:	02557
Country	:	US
Telephone Number	:	508-693-0410
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE HOSPITAL ROAD
Second Line	:
City	:	OAK BLUFFS
State	:	MA
Zip	:	02557
Country	:	US
Telephone Number	:	508-693-0410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1780939587 — DR. ANA SOFIA RIVERO GUTIERREZ M.D
Practice Location Address:

1 HOSPITAL RD
OAK BLUFFS, MA
02557-1406

Practice Phone: 508-693-0410
Practice Fax:

1720081912 — MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE
Practice Location Address:

111 EDGARTOWN VINEYARD HAVEN ROAD
OAK BLUFFS, MA
02557

Practice Phone: 508-693-7900
Practice Fax: 508-693-6669

1073517025 — CATHERINE A CHASE C.N.M.
Practice Location Address:

ONE HOSPITAL RD
OAK BLUFFS, MA
02557-1477

Practice Phone: 508-693-0410
Practice Fax: 508-696-8474

1588660443 — VINEYARD NURSING ASSOCIATION, INC.
Practice Location Address:

1 HOSPITAL ROAD
OAK BLUFFS, MA
02557-2568

Practice Phone: 508-693-6184
Practice Fax: 508-693-5607

1396743209 — PIETER M PIL MD
Practice Location Address:

1 HOSPITAL RD
OAK BLUFFS, MA
02557-1406

Practice Phone: 508-684-4500
Practice Fax: 508-684-4502

1306844212 — DENISE M FRASER MD
Practice Location Address:

ONE HOSPITAL ROAD
OAK BLUFFS, MA
02557-1477

Practice Phone: 508-693-0410
Practice Fax: 508-693-5971

Directions to “ STACIE J NOBLE-SHRIVER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.