DR. SUSAN JUDITH ZLOTNICK-HALE (NPI# 1003958844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003958844 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JUDITH ZLOTNICK-HALE |
| Credential | MD |
| Practice Address |
718 Smyth Rd Manchester Va Medical Center - Primary Care Manchester NH 03104 |
| Practice Telephone | 8008928384 |
| Practice Fax Number | 6033141653 |
| Mailing Telephone | 8008928384 |
| Mailing Fax Number | 6033141653 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | H-4814 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 15426 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
718 SMYTH RD MANCHESTER VA MEDICAL CENTER - PRIMARY CARE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.