DR. KEITH D JORGENSEN (NPI# 1023081601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023081601 |
| Entity Type | Individual |
| Full Name | DR. KEITH D JORGENSEN |
| Credential | M.D. |
| Practice Address |
44 Birch St Suite 304 Derry NH 03038-2752 |
| Practice Telephone | 6034328104 |
| Mailing Telephone | 6034328104 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 7086 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30001523 | 05 |
| Street Address |
44 BIRCH ST SUITE 304 |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739025 | Anne M Loosmann | Surgery | 44 Birch St, Suite 301, Derry, NH 03038-2752 | 2005-09-08 |
| 1851782312 | Londonderry Gastroenterology Associates Pa | Internal Medicine | 44 Birch St, Suite 206, Derry, NH 03038-2752 | 2015-02-05 |
| 1629409503 | Meghan Peschiera | Audiologist-Hearing Aid Fitter | 44 Birch St, Suite 304, Derry, NH 03038-2752 | 2013-12-03 |
| 1750624409 | Natasha Saiyed | Surgery | 44 Birch St, Derry, NH 03038-2752 | 2013-04-01 |
| 1811264559 | Weymouth Surgical LLC | Surgery | 44 Birch St, Suite 206, Derry, NH 03038-2752 | 2011-11-23 |
| 1215267711 | Corinne M Chaar | Dietitian, Registered | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2010-01-05 |
| 1285880377 | Katrina Adele Wayman | Advanced Practice Midwife | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2008-08-08 |
| 1588831390 | Sheri Eng | Physical Therapist | 44 Birch St, Nutfield Professional Building; Suite 300, Derry, NH 03038-2752 | 2008-05-12 |
| 1346421260 | Sandra A. Cullinan | Speech-Language Pathologist | 44 Birch St, Derry, NH 03038-2752 | 2007-11-20 |
| 1043409006 | Coastal New Hampshie Neurosurgeons | Neurological Surgery | 44 Birch St, Suite 207, Derry, NH 03038-2752 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679588339 | Keith D. Jorgensen, Md, Pa | Otolaryngology | 44 Birch St, Suite 304, Derry, NH 03038-2752 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912094459 | Littleton Hospital Association | Otolaryngology | 580 St Johnsbury Road, Littleton, NH 03561 | 2006-10-06 |
| 1730113309 | Donald V. Wilson | Otolaryngology | Dartmouth Hitchcock Clinic/keene, 590 Court St, Keene, NH 03431 | 2006-07-10 |
| 1811954712 | Thomas A Chasse | Otolaryngology | 194 Pleasant St Ste 2, Concord, NH 03301-2952 | 2006-04-26 |
| 1366402737 | Steven E Johnson | Otolaryngology | 361 High St, Somersworth, NH 03878-1407 | 2006-03-28 |
| 1407824535 | James E Saunders | Otolaryngology | One Medical Center Dr., Dhmc Division of Otolarynoglogy, Lebanon, NH 03756-0001 | 2006-03-14 |
| 1780673178 | Anders Holm | Otolaryngology | 158 Nh Route 108 Ste B, Dover, NH 03820-8812 | 2005-10-18 |
| 1639162852 | Ashok N Reddy | Otolaryngology | 2300 Southwood Drive, Otolaryngology, Nashua, NH 03063 | 2005-08-23 |
| 1679992887 | Colin Edwards | Otolaryngology | 30 Canton St Ste 2, Manchester, NH 03103-3524 | 2014-04-15 |
| 1679990808 | Ryan E Little | Otolaryngology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2014-03-26 |
| 1295098994 | Brandon W Peck | Otolaryngology | 9 Buzell Ave, Exeter, NH 03833-2522 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEITH D JORGENSEN.
| 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.