PATRICK JAMES CAROLAN (NPI# 1154976447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154976447 |
| Entity Type | Individual |
| Full Name | PATRICK JAMES CAROLAN |
| Practice Address |
6 Tsienneto Rd Derry NH 03038-1584 |
| Practice Telephone | 6032160400 |
| Mailing Telephone | 6032160400 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DRIVER'S LICENSE | S26800345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237783 | Patrick James Carolan | Orthopaedic Surgery | 3909 Main St, Bridgeport, CT 06606-2815 | 2005-06-30 |
| 1750479127 | Patrick L Carolan | Emergency Medicine | 2525 Chicago Avenue South, Childrens Hospitals and Clinics - Emergency Physicians, Minneapolis, MN 55404 | 2006-10-11 |
| Street Address |
6 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282375 | Jeffrey D Rind | Pediatrics | 6 Tsienneto Rd, Suite 302, Derry, NH 03038-1584 | 2005-08-12 |
| 1295336436 | Marcus Armando Vesprini | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2020-11-04 |
| 1063066298 | Sarah Matson | Nurse Practitioner | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-07-25 |
| 1831613736 | Morgan Rose Segale | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2017-08-01 |
| 1518363415 | Adam J Lurgio | Physician Assistant | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 2014-11-05 |
| 1700214251 | Michelle Joan Cleary | Nurse Practitioner | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2013-10-18 |
| 1033542717 | Robin Elizabeth Laberge | Physician Assistant | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 | 2013-08-16 |
| 1548514714 | Haley Mcmahon | Physician Assistant | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2012-11-09 |
| 1245507953 | Jessica E Judkins | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038 | 2011-11-23 |
| 1285914705 | Carolyn A. Fiori | Physician Assistant | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2011-08-29 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050841 | Richard Charity | Physician Assistant | 44 Adams Pond Rd, Derry, NH 03038-5013 | 2020-07-21 |
| 1871126581 | Ernest K Tabiri | Physician Assistant | 12 Fairway Dr Apt 1412, Derry, NH 03038-6156 | 2020-02-20 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1598281305 | Christina Jo Shaffer | Physician Assistant | 6 Tsienneto Rd Ste 300, Derry, NH 03038-1584 | 2017-08-15 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| 1194257394 | Kimberly Bean | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038-1595 | 2017-03-28 |
| 1467904078 | Jacob Paul Donovan | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2016-10-30 |
| 1902279813 | Acadian Emergency Physicians, LLC | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2015-11-02 |
| 1073981049 | Edward Morgenthau | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2015-09-09 |
| 1518363415 | Adam J Lurgio | Physician Assistant | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 2014-11-05 |
| Find all providers in DERRY | ||||
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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.