EXPRESSMED, LLC (NPI# 1255845905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255845905 |
| Entity Type | Organization |
| Organization Name | EXPRESSMED, LLC |
| Other Organization Name | NORTH COUNTRY MEDICAL AND WELLNESS |
| Practice Address |
152 Colby Street Colebrook NH 03576 |
| Mailing Address |
700 Lake Ave Ste 2 Manchester NH 03103 |
| Practice Telephone | 6033310500 |
| Mailing Telephone | 6037828374 |
| Mailing Fax Number | 6037825123 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | NICHOLAS VAILAS (MANAGING MEMBER) |
| Authorized Official Telephone | 6036223670 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXPRESSMED, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Country Medical and Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407385602 | Expressmed, LLC | Clinic/Center | 39 Kosciuszko St, Manchester, NH 03101-1608 | 2017-06-09 |
| 1881224509 | Expressmed, LLC | Clinical Medical Laboratory | 35 Kosciuszko St, Manchester, NH 03101-1608 | 2020-01-22 |
| 1295856896 | Expressmed, LLC | Clinic/Center | 1 Highlander Way, Suite 2, Manchester, NH 03103-7403 | 2007-04-02 |
| Street Address |
152 COLBY STREET |
| City | COLEBROOK |
| State | NH |
| Zip Code | 03576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619225331 | Sheila J. Parkhurst | Mechanotherapist | 53 Trooper Leslie Lord Mem. Hwy., Colebrook, NH 03576 | 2012-08-28 |
| 1205972874 | John Carmelo Gramuglia | Counselor | 4 Titus Hill Rd, Colebrook, NH 03576 | 2007-01-30 |
| 1205905338 | Eckerd Youth Alternatives Inc | Residential Treatment Facility, Emotionally Disturbed Children | 35 Eckerd Way, Stewartstown, NH 03576 | 2006-11-06 |
| 1386673952 | Indian Stream Health Center, Inc | General Practice | 141 Corliss Lane, Colebrook, NH 03576 | 2006-07-03 |
| 1134178775 | Rebecca M Underwood | Physical Therapist | 118 Main St Ste 6, Colebrook, NH 03576 | 2006-05-10 |
| 1861489437 | Upper Connecticut Valley Hospital Association | General Acute Care Hospital | 181 Corliss Lane, Colebrook, NH 03576 | 2005-09-29 |
| 1992204168 | Donald Murray Dickson | Pharmacist | 91 Main St, Colebrook, NH 03576 | 2018-02-02 |
| 1083133870 | North Country Medical and Wellness, LLC | Clinic/Center | 152 Colby St, Colebrook, NH 03576 | 2017-09-13 |
| 1154735108 | Laurie Connors | Social Worker | 141 Corliss Ln, Indian Stream Health Center, Colebrook, NH 03576 | 2014-06-18 |
| 1053561001 | Darwin A Castor | Nurse Anesthetist, Certified Registered | 181 Corliss Lane, Ucvh, Colebrook, NH 03576 | 2008-09-26 |
| Find all providers in zip 03576 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154774743 | Susanne Harrison | Internal Medicine | 897 Colebrook Rd, Colebrook, CT 06021-1021 | 2016-07-19 |
| 1336198175 | John J Fothergill | Internal Medicine | 152 Colby St, Colebrook, NH 03576-3049 | 2006-05-09 |
| 1477117182 | Kristi Ann Samson-smith | Internal Medicine | 141 Corliss Ln, Colebrook, NH 03576-3206 | 2019-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378752 | Catherine Anne Booher | Internal Medicine | 16 Nathan Lord Rd, Amherst, NH 03031-3061 | 2019-07-22 |
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1326408709 | Ephrem Medical Services, LLC | Internal Medicine | 304 Turner Way, Laconia, NH 03246-1691 | 2016-02-29 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1659750560 | Jonathan Polak | Internal Medicine | 39 Dutile Shore Rd, Belmont, NH 03220-3048 | 2015-05-26 |
| 1053798876 | Gurvinder Singh Bali | Internal Medicine | Laconia Clinic, 724 North Main Street, Laconia, NH 03246-2742 | 2015-04-30 |
| 1699161018 | Gregory Rosic | Internal Medicine | 6 Healthcare Dr Ste 2, Rochester, NH 03867-4499 | 2015-04-13 |
| 1346652765 | Kiera Mckendrick Mcelrone | Internal Medicine | 20 Chambers Drive Suite 2200, Hooksett, NH 03106-1981 | 2014-05-21 |
| 1619302056 | Ergen Muso | Internal Medicine | 9 Washington Pl Ste 204, Bedford, NH 03110-6750 | 2013-09-04 |
| 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.