PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC (NPI# 1104085638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104085638 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC |
| Practice Address |
330 Borthwick Ave Suite 202 Portsmouth NH 03801-4174 |
| Mailing Address |
330 Borthwick Ave Portsmouth NH 03801-4174 |
| Practice Telephone | 6034367171 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MR. WAYNE L LORD (MANAGER) |
| Authorized Official Telephone | 6034367171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
330 BORTHWICK AVE SUITE 202 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1760041784 | Jaclyn Heather Johnston | Physician Assistant | 330 Borthwick Ave, Portsmouth, NH 03801-4174 | 2019-06-12 |
| 1215486097 | Chelsey R Andrea | Nurse Practitioner | 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 | 2016-09-22 |
| 1790231660 | Shauna Nancy Sedler | Nurse Practitioner | 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 | 2016-08-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| 1497161228 | Friendship City Acute Trauma LLC | Surgery | 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 | 2014-07-01 |
| 1215354683 | Seacoast Dermatology Pllc | Dermatology | 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 | 2014-03-24 |
| 1174967509 | Sarah E Vandeventer | Physician Assistant | 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 | 2013-04-29 |
| 1316284599 | Nancy K Charest | Audiologist | 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 | 2013-01-09 |
| 1902143100 | Erica L Regan | Audiologist | 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447521901 | Aaron James Ballantyne | Pediatrics | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821135534 | Anna Maria Konopka | Pediatrics | 92 Bunker Rd, New London, NH 03257 | 2007-01-31 |
| 1447235270 | Bridget L Olsen | Pediatrics | 116 Spit Brook Rd, Nashua, NH 03062-4216 | 2005-12-14 |
| 1851413181 | Joann Lopez-valles | Pediatrics | 125 S Main St, Franklin, NH 03235-1508 | 2007-04-06 |
| 1962521278 | Myra Citrin | Pediatrics | 20 Main St, Exeter, NH 03833-2438 | 2007-03-28 |
| 1528184439 | Bedford Pediatrics, P.a. | Pediatrics | 360 Route 101, Unit 7b, Bedford, NH 03110-5030 | 2007-03-22 |
| 1700959897 | Rochester Pediatrics | Pediatrics | 163 Rochester Hill Rd, Rochester, NH 03867-1728 | 2006-11-16 |
| 1417027509 | Ana Maria Ferrer | Pediatrics | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
| 1780772160 | Clare Nichols Drebitko | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-10 |
| 1871605022 | Marjan Makatam-abrams | Pediatrics | One Elliot Way, Elliot Hospital Hospitalist Program, Manchester, NH 03103 | 2006-08-31 |
| 1649383548 | Ardis Lee Olson | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC.
| 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.