IndividualActive
Stacey Rotta, M.D.
NPI 1093077703 · Surgical Critical Care Physician · Portland, ME
Provider details
- NPI number
- 1093077703
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A156409 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
887 Congress St
Portland, ME 04102-3100
Phone: (207) 774-6368
Approximate (ZIP-level) locationGet directions
Mailing address
887 Congress St
Portland, ME 04102-3100
Additional practice locations (2)
- 2315 Stockton BlvdSacramento, CA 95817-2201Phone: (408) 318-0044
- 1450 Chapel StHospital of Saint Raphael General Surgery DepartmentNew Haven, CT 06511-4405Phone: (203) 789-3443
Registry dates
- Enumerated
- 2012-06-10
- Last updated
- 2020-03-23
- Certified
- 2020-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.