PETER S DICKS (NPI# 1295904399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295904399 |
| Entity Type | Individual |
| Full Name | PETER S DICKS |
| Credential | MD |
| Practice Address |
928 South St Edgewood Ctr Portsmouth NH 03801 |
| Mailing Address |
Po Box 158 Kittery Point ME 03905-0158 |
| Practice Telephone | 6036791083 |
| Mailing Telephone | 6036791083 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
8075 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80000057 | 05 |
| Street Address |
928 SOUTH ST EDGEWOOD CTR |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1447632559 | Rikitha Menezes | Internal Medicine | 4106 Portsmouth Blvd, Portsmouth, VA 23701-2968 | 2015-06-25 |
| 1851365613 | Joseph Davy Kennedy | Internal Medicine | 620 John Paul Jones Circle, Internal Medicine Clinic-naval Hospital, Portsmouth, VA 23708-2197 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336219823 | Bejoy B Kundu | Internal Medicine | 3 Denny Hill Road, Warner, NH 03278 | 2006-11-09 |
| 1457448086 | Sourya Ranjan Mahapatra | Internal Medicine | Nashua Center for Healthy Aging, 280 Main St., #210a, Nashua, NH 03060 | 2006-10-06 |
| 1275508988 | Manish Chopra | Internal Medicine | Senior Health Primary Care, 138 Webster Street, Manchester, NH 03104 | 2006-02-17 |
| 1942291158 | Raphael Farra | Internal Medicine | 300 Kearney Cir, Manchester, NH 03104-1816 | 2005-11-04 |
| 1417956368 | Cyrille P Cucio | Internal Medicine | 17 Riverside St, Suite 202, Nashua, NH 03062-1304 | 2005-07-21 |
| 1770966962 | Michael Keuroghlian | Internal Medicine | 590 Court St, Keene, NH 03431 | 2015-07-07 |
| 1477991107 | Agata Marszalek Litauska | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2013-06-04 |
| 1245597442 | Rebecca Scott Crow | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Geriatrics, Lebanon, NH 03756-1000 | 2012-04-12 |
| 1730319633 | Lyn Singer Lindpaintner | Internal Medicine | 248 Pleasant St, Suite 2800, Concord, NH 03301-2588 | 2009-07-27 |
| 1740410505 | Keron Babu Navarengom | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2009-07-15 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.