SEACOAST EMERGENCY PHYSICIANS, PC (NPI# 1134155872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134155872 |
| Entity Type | Organization |
| Organization Name | SEACOAST EMERGENCY PHYSICIANS, PC |
| Practice Address |
789 Central Ave Emergency Dept Dover NH 03820-2526 |
| Mailing Address |
540 Lafayette Rd Suite 8 Hampton NH 03842-3344 |
| Practice Telephone | 6037402163 |
| Practice Fax Number | 6037402246 |
| Mailing Telephone | 6039260088 |
| Mailing Fax Number | 6039242853 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | OWEN MACCAUSLAND (CHIEF) |
| Authorized Official Telephone | 6037402163 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RAILROAD MCARE GROUP ID | CE0476 | 01 |
| NH | 30011120 | 05 | |
| MA | 9705015 | 05 |
| Street Address |
789 CENTRAL AVE EMERGENCY DEPT |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605200 | Erwin Kurt Tan Cullamar | Internal Medicine | 789 Central Ave, Level 2, Dover, NH 03820-2526 | 2005-08-09 |
| 1770190571 | Holly Pf Goodell | Speech-Language Pathologist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-25 |
| 1164037115 | Lindsay Carrier | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-15 |
| 1184239493 | Danielle Marie Amero | Occupational Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-14 |
| 1093320566 | Karissa Mondoux | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-11 |
| 1417571944 | Sarah M Bolduc | Nurse Anesthetist, Certified Registered | 789 Central Ave, Dover, NH 03820-2526 | 2020-06-01 |
| 1104447986 | Sonya Anne Kara | Pharmacist | 789 Central Ave, Dover, NH 03820-2526 | 2020-05-02 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1386119469 | Elizabeth J Eaton | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-04 |
| 1073008736 | Rachel L Velardi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295136 | William A. Rosenfeld | Emergency Medicine | 640 S State St, Dover, DE 19901-3530 | 2005-06-15 |
| 1982920427 | Stephen G Kraunz | Emergency Medicine | 4 Fairfield Dr, Dover, NH 03820 | 2010-04-08 |
| 1649205717 | Elizabeth O'brien | Emergency Medicine | 789 Central Ave, Emergency Dept, Dover, NH 03820-2526 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710618 | Monadnock Community Hospital | Emergency Medicine | 452 Old Street Road, Peterborough, NH 03458-1263 | 2006-05-24 |
| 1811969249 | Juwen Lin | Emergency Medicine | 3 Stone Post Rd, Salem, NH 03079-2245 | 2006-02-01 |
| 1588051668 | Lauren Hyde | Emergency Medicine | 250 Pleasant St, Concord, NH 03301 | 2015-04-16 |
| 1669866141 | Matthew Causland Ruppel | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2015-03-24 |
| 1396030391 | Elizabeth J Hoffman | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2011-06-17 |
| 1003074832 | Ashley Ann Fox | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2008-05-29 |
| 1124226873 | Eric J Hoffman | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2007-07-04 |
| 1730232232 | Emergency Physicians of Derry Pllc | Emergency Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2007-01-19 |
| 1578627295 | Eric Michael Lasky | Emergency Medicine | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-12-20 |
| 1831250943 | Patrick W Lee | Emergency Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-12-12 |
| 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.