WENTWORTH DOUGLASS PHYSICIAN CORPORATION (NPI# 1336751825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336751825 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Practice Address |
10 Members Way Fl 5 Dover NH 03820-5933 |
| Mailing Address |
Po Box 412503 Boston MA 02241-2503 |
| Practice Telephone | 6036096800 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | TRISHA L GAGNON (DIRECTOR OF REVENUE OPERATIONS) |
| Authorized Official Telephone | 6037425252 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
Pharmacy Service Providers | ||
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504683 | Wentworth Douglass Physician Corporation | Counselor | 798 Central Ave, Dover, NH 03820-2520 | 2020-06-26 |
| 1447352430 | Wentworth Douglass Physician Corporation | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2006-09-01 |
| Street Address |
10 MEMBERS WAY FL 5 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490276 | Pamela Schultze | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2005-10-11 |
| 1164943635 | Yulius Leonard Haryadi | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-07-05 |
| 1174061170 | Jade A O'donovan | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-02-09 |
| 1295109684 | Sarah Eckenberger | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-11-23 |
| 1215310529 | Sujata Shrestha | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-07-06 |
| 1609146562 | Jennifer Brown Christiansen | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2012-01-10 |
| 1043517485 | Kathleen Conway | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2011-02-22 |
| 1750695607 | Donna K Pare | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2010-08-03 |
| 1093897753 | Alison M Sollee | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2006-10-20 |
| 1811079585 | Randall S Zielinski | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2006-10-20 |
| Find all providers in the same location | ||||
| 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 | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 1437662517 | Elizabeth Miller | Registered Nurse | 640 S State St, Dover, DE 19901-3530 | 2017-11-10 |
| 1487078937 | Cynthia Pajerowski | Registered Nurse | 560 S Governors Ave, Dover, DE 19904-3523 | 2014-02-04 |
| 1376982660 | Carrie Finney Holmes | Registered Nurse | 560 S Governors Ave, Dover, DE 19904-3523 | 2013-06-19 |
| 1225292113 | Ann West | Registered Nurse | 789 Central Ave, Dover, NH 03820-2526 | 2008-07-10 |
| 1457514416 | Kristan Lee Ferullo | Registered Nurse | 789 Central Ave, Dover, NH 03820-2526 | 2008-07-09 |
| 1952339483 | Bonnie L Noury | Registered Nurse | 10 Members Way, Suite 400, Dover, NH 03820-5933 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| 1477083038 | Stephanie Ackerson | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2017-06-15 |
| 1013365774 | Tracy Tinker | Registered Nurse | 199 Manchester St, Manchester, NH 03103-5232 | 2016-06-02 |
| 1417285461 | Jeanne M Hoskins | Registered Nurse | 5 Washington Pl, Bedford, NH 03110-6736 | 2009-12-03 |
| 1366680787 | Karen L Adams | Registered Nurse | 2299 Woodbury Ave, Ste 4-1, Newington, NH 03801-7854 | 2009-01-22 |
| 1881846160 | Miranda Lea Anderson | Registered Nurse | 253 Pleasant St, Concord, NH 03301-7560 | 2008-10-17 |
| 1902082191 | Kristen M Awrich | Registered Nurse | 253 Pleasant St, Concord, NH 03301-7560 | 2008-01-17 |
| 1437334422 | Joyce E Mccullen | Registered Nurse | 253 Pleasant St, Concord, NH 03301-7560 | 2008-01-08 |
| 1265638449 | Sandra J. Madden | Registered Nurse | Dartmouth Hitchcock, 100 Hitchcock Way, Manchester, NH 03104 | 2007-06-25 |
| 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.