E GARY MITREVOLIS (NPI# 1154632990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154632990 |
| Entity Type | Individual |
| Full Name | E GARY MITREVOLIS |
| Credential | MD |
| Practice Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6037402503 |
| Mailing Telephone | 6037402503 |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 16124 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3086002 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 S Main St, Wolfeboro, NH 038944411 | 6035697500 | 6035697564 |
| Street Address |
789 CENTRAL AVE |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457736274 | Kushal Akshay Shah | Hospitalist | 789 Central Ave, Dover, NH 03820 | 2015-07-22 |
| 1396120259 | Adebayo Akindele | Hospitalist | 640 S State St, Dover, DE 19901-3530 | 2015-07-21 |
| 1245645860 | Hazem Bdair | Hospitalist | 789 Central Ave, Dover, NH 03820-2526 | 2014-06-23 |
| 1659655298 | Georgina Saravia | Hospitalist | 789 Central Ave, Dover, NH 03820 | 2011-09-30 |
| 1902193428 | Christopher Byron Mone Jr. | Hospitalist | 789 Central Ave, Dover, NH 03820-2526 | 2011-07-05 |
| 1114256989 | Knd Development 59, LLC | Hospitalist | 400 W Blackwell St, Dover, NJ 07801-2525 | 2009-12-08 |
| 1184852261 | Linsley Sikorski | Hospitalist | 789 Central Ave, Dover, NH 03820-2526 | 2009-06-26 |
| 1346406865 | Catherine M Karl | Hospitalist | 659 Boulevard St, Dover, OH 44622-2026 | 2008-08-04 |
| 1922268549 | Chad M Dubois | Hospitalist | 789 Central Avenue, Dover, NH 03820-2526 | 2008-06-17 |
| 1063694438 | Janaki S Fonseka | Hospitalist | 789 Central Ave, Level 2, Dover, NH 03820-2526 | 2007-11-28 |
| Find all providers in DOVER | ||||
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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.