GREAT BAY NEUROSURGICAL ASSOCIATES, P.A. (NPI# 1194950840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194950840 |
| Entity Type | Organization |
| Organization Name | GREAT BAY NEUROSURGICAL ASSOCIATES, P.A. |
| Practice Address |
750 Central Avenue - Suite H Great Bay Neurosurgical Associates, P.a. Dover NH 03820-3434 |
| Practice Telephone | 6037490888 |
| Practice Fax Number | 6037499285 |
| Mailing Telephone | 6037490888 |
| Mailing Fax Number | 6037499285 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | MELVIN E. PROSTKOFF (PRESIDENT/CEO/CHAIRMAN OF BOARD/SOL) |
| Authorized Official Telephone | 6037490888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
750 CENTRAL AVENUE - SUITE H GREAT BAY NEUROSURGICAL ASSOCIATES, P.A. |
| City | DOVER |
| State | NH |
| Zip Code | 03820-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566907 | Melvin E. Prostkoff | Neurological Surgery | 750 Central Avenue - Suite H, Great Bay Neurosurgical Associates, P.a., Dover, NH 03820-3434 | 2009-05-26 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789852 | Delaware Brain and Spine Center of Excellence, LLC | Neurological Surgery | 200 Banning St Ste 200, Dover, DE 19904-3487 | 2020-08-03 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1174813588 | Amit Goyal | Neurological Surgery | 540 S Governors Ave Ste 100, Dover, DE 19904-3530 | 2011-04-19 |
| 1255566907 | Melvin E. Prostkoff | Neurological Surgery | 750 Central Avenue - Suite H, Great Bay Neurosurgical Associates, P.a., Dover, NH 03820-3434 | 2009-05-26 |
| 1609073246 | James D Mills | Neurological Surgery | 200 Banning St Ste 100, Dover, DE 19904-3486 | 2007-06-28 |
| 1417473935 | Bayhealth Medical Center, Inc | Neurological Surgery | 640 S State St, Dover, DE 19901-3530 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437477387 | Naser Jaleel | Neurological Surgery | 1 Medical Centerl Dr, Dartmouth Hitchcock - Neurosurgery, Lebanon, NH 03756-1000 | 2010-05-16 |
| 1669652715 | Katharine Margaret Cronk | Neurological Surgery | 17 Prospect St Ste N203, Nashua, NH 03060-3964 | 2007-11-06 |
| 1811986763 | Theodore R Jacobs | Neurological Surgery | 1 Hardy Rd # 220, Bedford, NH 03110-4915 | 2005-10-13 |
| 1235122359 | Timothy C Ryken | Neurological Surgery | One Medical Center Dr, Neurosurgery, Lebanon, NH 03756-0001 | 2005-08-24 |
| 1801890629 | Harold J Pikus | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2005-06-09 |
| 1629405998 | Fleischer Spine, Pllc | Neurological Surgery | 19 Tyler St, Suite 104, Nashua, NH 03060-2951 | 2013-10-02 |
| 1174814792 | Jennifer Hong | Neurological Surgery | 1 Medical Dr, Lebanon, NH 03756-0001 | 2011-04-29 |
| 1518266410 | Alexander James Gamble | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2011-03-18 |
| 1649581232 | Alice Peck Day Memorial Hospital | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2010-06-29 |
| 1366694895 | Neal Luther | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2008-10-15 |
| 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.