MS. MARYANNE EILEEN CHRISTIANSEN (NPI# 1073040234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073040234 |
| Entity Type | Individual |
| Full Name | MS. MARYANNE EILEEN CHRISTIANSEN |
| Other Name | MS. MARYANN EILEEN CHRISTIANSEN |
| Credential | PA-C |
| Practice Address |
2 Broadway Street Gorham NH 03581 |
| Mailing Address |
133 Pleasant Street Berlin NH 03570 |
| Practice Telephone | 6034662741 |
| Mailing Telephone | 6037522040 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1255 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 BROADWAY STREET |
| City | GORHAM |
| State | NH |
| Zip Code | 03581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| 1811339823 | Alison Bernier | Occupational Therapist | 33 Glen Rd, Gorham, NH 03581-1333 | 2013-07-19 |
| 1821531229 | Jessica Stewart | Student in an Organized Health Care Education/Training Program | 80 Lancaster Rd, Gorham, NH 03581-1411 | 2016-12-02 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151959 | Sara Sverker | Physician Assistant | 11b Danville Rd, Plaistow, NH 03865-2719 | 2020-10-15 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1619584869 | Elizabeth Fiorentino | Physician Assistant | 500 Market St Unit 1e, Portsmouth, NH 03801-3456 | 2020-09-30 |
| 1861009334 | Sarah Elizabeth Smith | Physician Assistant | 10 Hampshire Hills Dr, Bow, NH 03304-4920 | 2020-09-28 |
| 1366050841 | Richard Charity | Physician Assistant | 44 Adams Pond Rd, Derry, NH 03038-5013 | 2020-07-21 |
| 1578183927 | Cara Weiner | Physician Assistant | 200 Old Dublin Rd, Peterborough, NH 03458-1335 | 2020-04-24 |
| 1871126581 | Ernest K Tabiri | Physician Assistant | 12 Fairway Dr Apt 1412, Derry, NH 03038-6156 | 2020-02-20 |
| 1578103479 | Mary Seaman | Physician Assistant | 497 Hooksett Rd # 142, Manchester, NH 03104-2632 | 2020-01-09 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1275184970 | Jillian Mccolgan | Physician Assistant | 111 Nh Ave Ste 2, Portsmouth, NH 03801-2864 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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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.