WENTWORTH DOUGLASS HOSPITAL (NPI# 1235605429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235605429 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Practice Address |
789 Central Ave Dover NH 03820-2526 |
| Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
| Practice Telephone | 6037425252 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TRISHA GAGNON (DIR.REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 6037403205 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Members Way, Dover, NH 038205933 | 6037402807 | |
| 67 Corporate Dr Bldg A, Portsmouth, NH 038012847 | 6036108058 | |
| 73 Corporate Dr Bldg B, Portsmouth, NH 038012847 | 6036108058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 1477038461 | Wentworth Douglass Hospital | Clinic/Center | 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 | 2018-09-26 |
| 1366929440 | Wentworth Douglass Hospital | Clinic/Center | 701b Central Ave, Dover, NH 03820-3403 | 2018-07-23 |
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1043669195 | Wentworth Douglass Hospital | Durable Medical Equipment & Medical Supplies | 789 Central Ave, Dover, NH 03820 | 2016-06-09 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| 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 |
| 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 |
| 1386135887 | Leland Davis IIi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-05-21 |
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| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736887 | Theressa Milhouse | Clinical Medical Laboratory | 400 N Dupont Hwy Apt J35, Dover, DE 19901-2502 | 2020-09-28 |
| 1376914531 | Beacon Pathology LLC | Clinical Medical Laboratory | 35 Brookfield Rd, Dover, MA 02030-1805 | 2015-10-14 |
| 1972100238 | Heart To Heart Health Services | Clinical Medical Laboratory | 400 N Dupont Hwy Apt J35, Dover, DE 19901-2502 | 2020-10-08 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| 1154798585 | Green Clinics Laboratory, LLC | Clinical Medical Laboratory | 740 S New St Ste B, Dover, DE 19904-3571 | 2015-09-02 |
| 1659768265 | Kimberly Milligan | Clinical Medical Laboratory | 600 W Division St, Dover, DE 19904-2702 | 2015-04-21 |
| 1154718930 | Bg Laboratory, Inc | Clinical Medical Laboratory | 600 W Division St, Dover, DE 19904-2702 | 2015-04-20 |
| 1053724815 | Advanced Sleep Disorders Center LLC | Clinical Medical Laboratory | 200 Banning St, Suite 210, Dover, DE 19904-3487 | 2014-06-09 |
| 1629304472 | Hennis Care Center of Dover | Clinical Medical Laboratory | 1720 N Cross St, Dover, OH 44622-1043 | 2009-10-29 |
| 1922170703 | State of Delaware | Clinical Medical Laboratory | 417 Federal St, Dover, DE 19901-3635 | 2006-11-15 |
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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.