MRS. KELLEY SUSAN GILLIS (NPI# 1265533137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265533137 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY SUSAN GILLIS |
| Credential | PA-C |
| Practice Address |
2300 Southwood Dr Dartmouth Hitchcock - Urgent Care Nashua NH 03063-1818 |
| Practice Telephone | 6035774188 |
| Mailing Telephone | 6035774188 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0525 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30334240 | 05 |
| Street Address |
2300 SOUTHWOOD DR DARTMOUTH HITCHCOCK - URGENT CARE |
| City | NASHUA |
| State | NH |
| Zip Code | 03063-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814896 | Richard M Hayes | Internal Medicine | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2005-10-07 |
| 1477175412 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2020-05-13 |
| 1184198590 | Paul Henry Acevedo | Nurse Practitioner | 2300 Southwood Dr, Nashua, NH 03063-1899 | 2019-01-18 |
| 1154895951 | Benjamin Gersten | Physician Assistant | 2300 Southwood Dr, Nashua, NH 03063 | 2019-01-15 |
| 1467947184 | Taylor Anne Cassidy | Orthopaedic Surgery | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2018-06-25 |
| 1336643659 | Kelly Demoura | Pharmacist | 2300 Southwood Dr, Nashua, NH 03063-1899 | 2018-03-21 |
| 1437665312 | Danielle M Lemay | Nurse Practitioner | 2300 Southwood Dr, Nashua, NH 03063-1899 | 2017-12-14 |
| 1376066886 | Robyn Galvin | Nurse Practitioner | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2017-07-18 |
| 1598292948 | Amanda L Totte | Social Worker | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2017-05-16 |
| 1679925192 | Alma Idrizovic | Nurse Practitioner | 2300 Southwood Dr, Nashua, NH 03063 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770073298 | Eye Practice of Nashua Pllc | Optometrist | 451 Amherst St Ste 102, Nashua, NH 03063 | 2018-05-10 |
| 1801254552 | Lindsay Arel | Occupational Therapist | 547 Amherst St Ste 204, Nashua, NH 03063 | 2016-02-09 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1801196332 | Greater Nashua Council On Alcoholism, Inc. | Counselor | 615 Amherst Street, Nashua, NH 03063 | 2010-11-01 |
| 1275846123 | Nancy M Chow | Pharmacist | 145 Amhurst St, Nashua, NH 03063 | 2010-07-21 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
| 1609922731 | Kara Myers | Occupational Therapist | 547 Amherst St., Suite 204, Nashua, NH 03063 | 2007-01-25 |
| 1720147176 | Todd Ratcliffe | Physical Therapist | 522 Amherst St Ste 22, Nashua, NH 03063 | 2006-12-08 |
| 1043385073 | Deepak V Shinde | Dentist | 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 | 2006-11-22 |
| Find all providers in zip 03063 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1104925783 | George Hiller Lewis | Physician Assistant | 505 West Hollis St, Suite 110, Nashua, NH 03063 | 2006-09-21 |
| 1194371591 | Tess Alexandra Wiggin | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2019-08-13 |
| 1982065801 | Sarah M Farris | Physician Assistant | 460 Amherst St, Nashua, NH 03063-1220 | 2016-03-20 |
| 1376921692 | Katherine Hamilton | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2015-05-07 |
| 1346632999 | Rachael Thompson Lashua | Physician Assistant | 29 Northwest Blvd, Immediate Care of Southern Nh, Nashua, NH 03063-4068 | 2015-02-19 |
| 1700229580 | Kaleigh Ann Mca'nulty | Physician Assistant | 22 Prospect St, Nashua, NH 03060-3924 | 2013-04-11 |
| 1932442373 | Erin L Cacciola | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2013-04-04 |
| 1770856858 | Jiaxuan Zhu | Physician Assistant | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2012-02-20 |
| 1114294378 | Melba Gussy C Quitayen | Physician Assistant | 22 Prospect St, Nashua, NH 03060-3924 | 2011-11-16 |
| Find all providers in NASHUA | ||||
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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.