GREGORY PANTAZIS (NPI# 1093017451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093017451 |
| Entity Type | Individual |
| Full Name | GREGORY PANTAZIS |
| Credential | LADAC |
| Practice Address |
10 Tsienneto Rd Derry NH 03038-1505 |
| Practice Telephone | 6034341577 |
| Practice Fax Number | 6034343101 |
| Mailing Telephone | 6034341577 |
| Mailing Fax Number | 6034343101 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
10 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374452 | Heather J Souther | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2006-05-18 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1548822679 | Kristen Mccrady | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-06-28 |
| 1023675824 | Alex Reardon | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-05-28 |
| 1245795301 | Emily Coco | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-02-04 |
| 1972074698 | Irina Horodincu | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-12-06 |
| 1366910754 | Carol Early | Registered Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-11-05 |
| 1083181283 | Crystal Higgins | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-10-26 |
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| 1578044673 | Michele Saunders | Community Health Worker | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-27 |
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| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023524840 | Joanne Bickford | Counselor | 32 Barkland Dr, Derry, NH 03038-3936 | 2017-12-15 |
| 1457785057 | George Reardon | Counselor | 16 Manning St Ste 110, Derry, NH 03038-2389 | 2013-08-30 |
| 1922440023 | Kerry Ali | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2013-07-18 |
| 1558621169 | Dean Howard Robbins | Counselor | 14a Tsienneto Rd, Derry, NH 03038-1505 | 2012-05-17 |
| 1568735207 | Karen Kelley | Counselor | 16 Manning St, Derry, NH 03038-2388 | 2012-02-10 |
| 1235400565 | Mark Shearing | Counselor | 16 Manning St, Derry, NH 03038-2388 | 2012-01-18 |
| 1639123011 | John R Colby | Counselor | 43 Birch Street, Derry, NH 03038 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
| 1548861503 | Gary Alan Richard | Counselor | 2957 Main St. Rt. 302, Bethlehem, NH 03574 | 2020-11-05 |
| 1093322364 | Northstar Wellness Associates Pllc | Counselor | 171 Daniel Webster Hwy Unit 11, Belmont, NH 03220-3053 | 2020-09-30 |
| 1255946752 | Seaside Serenity Addiction Support & Referral | Counselor | 6 Appledore Ave, North Hampton, NH 03862-2303 | 2020-09-11 |
| 1770117681 | Debra J. Towle | Counselor | 11 Riverglen Ln Ste 100, Littleton, NH 03561-5748 | 2020-02-29 |
| 1164054094 | Victoria Elizabeth Lee | Counselor | 41 Ingham Rd, Merrimack, NH 03054-4204 | 2020-02-08 |
| 1265070221 | Dorothy Moffitt | Counselor | 2 Buck Rd Ste J&k, Hanover, NH 03755-2715 | 2019-12-20 |
| 1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
| 1174166391 | Summer Rain Doran | Counselor | 74 Northeastern Blvd Ste 10a, Nashua, NH 03062-3142 | 2019-10-21 |
| 1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
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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.