MARC J MICHAUD (NPI# 1063491702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063491702 |
Entity Type | Individual |
Full Name | MARC J MICHAUD |
Credential | MD |
Practice Address |
700 Lake Ave Suite One Manchester NH 03103-2734 |
Mailing Address |
17 Riverside St Suite 101 Nashua NH 03062-1304 |
Practice Telephone | 6036695454 |
Practice Fax Number | 6036410360 |
Mailing Telephone | 6038830091 |
Mailing Fax Number | 6038813739 |
Enumeration Date | 2006-01-11 |
Last Update Date | 2012-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
31401 | AZ | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
12269 | NH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30204355 | 05 |
Street Address |
700 LAKE AVE SUITE ONE |
City | MANCHESTER |
State | NH |
Zip Code | 03103-2734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528065240 | Gregory M Lavallee | Physical Therapist | 700 Lake Ave, Manchester, NH 03103-2734 | 2005-07-07 |
1356982144 | Christina Manter | Counselor | 700 Lake Ave, Manchester, NH 03103-2734 | 2019-10-02 |
1902456122 | Scott Methe | Counselor | 700 Lake Ave, Manchester, NH 03103-2734 | 2019-09-19 |
1780135954 | Jennifer Sloper | Counselor | 700 Lake Ave, Manchester, NH 03103-2734 | 2016-10-21 |
1194071506 | Four Seasons Imaging | Clinic/Center | 700 Lake Ave, Manchester, NH 03103-2734 | 2012-08-03 |
1285993147 | Leonard Attisano Dmd Pa | Dentist | 700 Lake Ave, Manchester, NH 03103-2734 | 2012-05-14 |
1821397266 | Four Seasons Orthopaedic Center Pa | Orthopaedic Surgery | 700 Lake Ave, Manchester, NH 03103-2734 | 2011-03-24 |
1346421559 | Superior Physical Therapy,llc | Clinic/Center | 700 Lake Ave, Suite 3, Manchester, NH 03103-2734 | 2007-11-15 |
1124207188 | Sheila Murphy Nardozza | Physical Therapist | 700 Lake Ave, Suite 3, Manchester, NH 03103-2734 | 2007-10-26 |
1740478593 | Brooke E Andrews | Physician Assistant | 700 Lake Ave, Suite One, Manchester, NH 03103-2734 | 2007-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
Find all providers in zip 03103 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114956737 | Paul J Hecht | Orthopaedic Surgery | 1 Medical Center Dr, Dhmc-department of Orthopaedic Surgery, Lebanon, NH 03756-1000 | 2006-07-03 |
1396774097 | Ronald B Resnick | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-03 |
City | MANCHESTER |
Zip Code | 03103 |
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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.