WENTWORTH DOUGLASS HOSPITAL (NPI# 1033118104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033118104 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Practice Address |
789 Central Avenue Dover NH 03820 |
| Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
| Practice Telephone | 6037402400 |
| Practice Fax Number | 6037402244 |
| Mailing Telephone | 6037402400 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-05-17 |
| Authorized Official Name | MR. PETER WALCEK (CFO OF FINANCE) |
| Authorized Official Telephone | 6037425252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 282N00000X | General Acute Care Hospital | 00010 | NH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3074430 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16 Jenkins Ct, Durham, NH 038242335 | 6038682600 | |
| 701b Central Ave, Dover, NH 038203403 | 6036096700 | |
| 65 Calef Hwy, Lee, NH 038616703 | 6038688507 | |
| 67 Corporate Dr Bldg A, Portsmouth, NH 038012847 | 6036108058 | |
| 121 Corporate Dr Bldg C, Portsmouth, NH 038016895 | 6037428787 | |
| 73 Corporate Dr Bldg B, Portsmouth, NH 038012847 | 8449373273 | |
| 10 Members Way, Dover, NH 038205933 | 6037402807 | |
| 73 Corporate Dr, Portsmouth, NH 038012847 | 8449373273 | |
| 121 Corporate Drive, Building C, Portsmouth, NH 03801 | 6037428787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 1477038461 | Wentworth Douglass Hospital | Clinic/Center | 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 | 2018-09-26 |
| 1366929440 | Wentworth Douglass Hospital | Clinic/Center | 701b Central Ave, Dover, NH 03820-3403 | 2018-07-23 |
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1043669195 | Wentworth Douglass Hospital | Durable Medical Equipment & Medical Supplies | 789 Central Ave, Dover, NH 03820 | 2016-06-09 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| Street Address |
789 CENTRAL AVENUE |
| City | DOVER |
| State | NH |
| Zip Code | 03820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114266202 | Wentworth-douglass Hospital | Pharmacy | 789 Central Avenue, Dover, NH 03820 | 2013-02-08 |
| 1922268549 | Chad M Dubois | Hospitalist | 789 Central Avenue, Dover, NH 03820-2526 | 2008-06-17 |
| 1124292479 | Thin-su-lin Ma | Nurse Practitioner | 789 Central Avenue, Dover, NH 03820-2526 | 2008-04-17 |
| 1508051939 | Minesh Nitinkumar Patel | Hospitalist | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-09-10 |
| 1497952394 | Sarah Almas | Internal Medicine | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-07-02 |
| 1861696783 | Leigh K Davenport | Dietitian, Registered | 789 Central Avenue, Dover, NH 03820-2526 | 2007-06-13 |
| 1336340017 | Lilia Routetska | Hospitalist | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2007-05-30 |
| 1326150418 | Sharon G Walker | Nurse Practitioner | 789 Central Avenue, Level 2, Dover, NH 03820-2526 | 2006-08-31 |
| 1952321622 | Lynn K Devlin | Family Medicine | 789 Central Avenue, Dover, NH 03820-2526 | 2006-07-19 |
| 1245255314 | Janet C Stocker | Nurse Practitioner | 789 Central Avenue, Dover, NH 03820-2526 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639616337 | Robert Delzer | General Acute Care Hospital | 1700 N Dupont Hwy, Apt. H304, Dover, DE 19901-7811 | 2017-01-19 |
| 1194180752 | Deborah Cofield | General Acute Care Hospital | 22 Tamarac Ct, Dover, DE 19904-6054 | 2015-12-28 |
| 1114302239 | Stephanie Moran | General Acute Care Hospital | 10 Greenview Dr, Dover, DE 19901-5744 | 2015-07-30 |
| 1609219286 | Annmarie Fenton-kowrach | General Acute Care Hospital | 283 N Dupont Hwy, Dover, DE 19901-7532 | 2013-04-12 |
| 1609171875 | Nslij Health System | General Acute Care Hospital | 16 Glenwood Ave, Dover, NH 03820-2412 | 2011-01-20 |
| 1861643660 | Atlantic Health | General Acute Care Hospital | 10 Mount Pleasant Ave Apt H304, Dover, NJ 07801-1649 | 2008-10-10 |
| 1467546135 | Bayhealth Medical Center, Inc. | General Acute Care Hospital | 640 South State Street, Dover, DE 19901 | 2006-10-03 |
| 1770948846 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-12-16 |
| 1497178214 | Bayhealth | General Acute Care Hospital | 560 S Governors Ave, Dover, DE 19904-3523 | 2014-01-30 |
| 1477809507 | Integrated Hospital Medicine | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2012-07-26 |
| Find all providers in DOVER | ||||
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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.