MEDICARE: KEY H STAGE MD

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	208800000X	Urology Physician	E8185	TX

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	:	1154390698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEY H STAGE MD

Provider Business Mailing Address
First Line	:	33 HIGH ST
Second Line	:
City	:	CAMDEN
State	:	ME
Zip	:	04843-1736
Country	:	US
Telephone Number	:	207-975-9884
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 HIGH ST
Second Line	:
City	:	CAMDEN
State	:	ME
Zip	:	04843-1736
Country	:	US
Telephone Number	:	207-975-9884
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	08/09/2010

Similar Medicare Providers

1952954133 — JENNA BORCHANIAN
Practice Location Address:

105 MECHANIC ST
CAMDEN, ME
04843-1811

Practice Phone: 207-236-4197
Practice Fax:

1124018312 — QUARRY HILL
Practice Location Address:

30 COMMUNITY DR
CAMDEN, ME
04843-2064

Practice Phone: 207-230-6100
Practice Fax:

1306837208 — MS. JAN SUMMERS LCSW
Practice Location Address:

69 ELM ST
CAMDEN, ME
04843-1954

Practice Phone: 207-236-7947
Practice Fax:

1679549596 — DR. LINDA JUDITH VAUGHAN PH.D.
Practice Location Address:

27 WASHINGTON ST
CAMDEN, ME
04843-1710

Practice Phone: 207-236-0510
Practice Fax: 207-593-9034

1275592115 — SCOTT R. MCPHERSON LCPC
Practice Location Address:

69 ELM ST
CAMDEN, ME
04843

Practice Phone: 207-236-6089
Practice Fax:

1720048044 — MS. MARSHA LESLIE DOMENCH PT
Practice Location Address:

22 PARK STREET
CAMDEN, ME
04843

Practice Phone: 207-236-9084
Practice Fax: 207-236-6407

Directions to “ KEY H STAGE MD” 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.