SEACOAST FOOT SURGERY ASSOC (NPI# 1174600217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174600217 |
| Entity Type | Organization |
| Organization Name | SEACOAST FOOT SURGERY ASSOC |
| Practice Address |
330 Borthwick Avenue Suite 112 Portsmouth NH 03801 |
| Practice Telephone | 6034308505 |
| Practice Fax Number | 6034368381 |
| Mailing Telephone | 6034308505 |
| Mailing Fax Number | 6034368381 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | ROXANNE RAESIDE WILTON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6034308505 |
| Authorized Official Credential | CAPPM EFPM CPODC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POD212 | ME | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 0183 | NH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 40368267 | 05 |
| Street Address |
330 BORTHWICK AVENUE SUITE 112 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225279573 | James Raymond Kavanagh | Nurse Practitioner | 330 Borthwick Avenue, Suite 100, Portsmouth, NH 03801 | 2009-03-17 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326237546 | Scioto Foot Care Inc. | Podiatrist | 1605 11th St, Portsmouth, OH 45662-4525 | 2007-10-24 |
| 1043328404 | Cory Allan Negri | Podiatrist | 5709 Churchland Blvd, B, Portsmouth, VA 23703-3314 | 2006-08-27 |
| 1861454332 | D'wayne Scott Tupper | Podiatrist | 3420 Cedar Ln, Portsmouth, VA 23703-3842 | 2006-04-03 |
| 1972587178 | Debra J Aleck | Podiatrist | 3511 Western Branch Blvd, Portsmouth, VA 23707-3133 | 2005-12-01 |
| 1316932361 | Jennifer Suzanne Sartori | Podiatrist | 14 Manchester Sq, Ste 250, Portsmouth, NH 03801-8001 | 2005-09-15 |
| 1003819731 | Larry Greiner | Podiatrist | 802 Washington St, Portsmouth, OH 45662-3943 | 2005-05-27 |
| 1699778571 | Paul Cwikla | Podiatrist | 1605 E 11th St, Portsmouth, OH 45662 | 2005-05-24 |
| 1669475786 | David Charles Greiner | Podiatrist | 820 Chillicothe St, Portsmouth, OH 45662-4028 | 2005-05-23 |
| 1740588425 | Foot & Ankle Medical Center, LLC | Podiatrist | 3640 High St, Suite D1, Portsmouth, VA 23707-3213 | 2011-03-04 |
| 1538390604 | Sportsmedicine Atlantic Orthopaedics, P.a. | Podiatrist | 150 Us Highway 1 Byp, Portsmouth, NH 03801-5332 | 2009-08-06 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on SEACOAST FOOT SURGERY ASSOC.
| 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.