DR. GARY A WASSERMAN (NPI# 1104811595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104811595 |
| Entity Type | Individual |
| Full Name | DR. GARY A WASSERMAN |
| Credential | M.D. |
| Practice Address |
150 Tarrytown Rd Manchester NH 03103-2713 |
| Mailing Address |
150 Tarrytown Road Manchester NH 03103-2713 |
| Practice Telephone | 6036223162 |
| Practice Fax Number | 6036228677 |
| Mailing Telephone | 6036223162 |
| Mailing Fax Number | 6036228677 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 7291 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM | 0104466Y0NH01 | 01 |
| NH | AETNA NON-HMO | 4201691 | 01 |
| NH | 30001529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205876919 | Gary L. Wasserman | Optometrist | 13489 Walsingham Rd, Largo, FL 33774-3530 | 2006-06-08 |
| 1518049832 | Gary D Wasserman | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2006-10-19 |
| 1740382746 | Gary M Wasserman | Obstetrics & Gynecology | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2006-09-01 |
| Street Address |
150 TARRYTOWN RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153077 | Wayne L. Goldner | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-09-09 |
| 1134753155 | Audrey L. Anastasia, Drph, Rd, LLC | Dietitian, Registered | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2020-02-28 |
| 1194128736 | Melissa Culverwell | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2014-09-26 |
| 1790122471 | Jenny Grillo Backman | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103 | 2013-06-04 |
| 1952660847 | Manchester Obstetrical Associates, P.a. | Nurse Practitioner | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2012-05-11 |
| 1992064257 | Alison A Palmer | Nurse Practitioner | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2012-05-08 |
| 1992933766 | Jillian K Dulac | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2009-06-30 |
| 1063682854 | Audrey L. Anastasia | Dietitian, Registered | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2008-03-07 |
| 1689791998 | Angela Diorio | Nurse Practitioner | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2007-03-23 |
| 1831216159 | Ann M Chalifour | Nurse Practitioner | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2007-03-23 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821354226 | Sarah Adele Bascle | Obstetrics & Gynecology | 88 Mcgregor St Ste 201, Manchester, NH 03102-3733 | 2012-04-10 |
| 1780975953 | Elliot Professional Services | Obstetrics & Gynecology | 15 Nelson St Fl 2, Elliot Obstetrics and Gynecology, Manchester, NH 03103-2706 | 2011-04-22 |
| 1508026295 | Brenna C. Stapp | Obstetrics & Gynecology | 150 Tarrytown Road, Manchester, NH 03103 | 2008-06-16 |
| 1790817526 | Michael C Good Md Pllc | Obstetrics & Gynecology | 1321 Mcarthur St Ste B, Manchester, TN 37355-2493 | 2007-03-09 |
| 1124122338 | Lawrence Arky | Obstetrics & Gynecology | 388 West Center St, Manshester Ob-gyn Assoc, Manchester, CT 06040 | 2006-09-08 |
| 1679593024 | Rene Carlos Del Valle | Obstetrics & Gynecology | 1615 Mcminnville Hwy, Manchester, TN 37355-3179 | 2006-07-20 |
| 1770549149 | Thomas J Barrett | Obstetrics & Gynecology | 15 Nelson St, Elliot Obstetrics and Gynecology, Manchester, NH 03103-2706 | 2006-04-25 |
| 1538153077 | Wayne L. Goldner | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-09-09 |
| 1356729255 | Amoskeag Women's Health, Pllc | Obstetrics & Gynecology | 445 Cypress St, Suite #1, Manchester, NH 03103-3600 | 2015-05-12 |
| 1194128736 | Melissa Culverwell | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2014-09-26 |
| Find all providers in MANCHESTER | ||||
| 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.