SHIDEH DEURELL (NPI# 1417052754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417052754 |
| Entity Type | Individual |
| Full Name | SHIDEH DEURELL |
| Credential | MD |
| Practice Address |
5 Industrial Dr Windham NH 03087-2021 |
| Practice Telephone | 6036850150 |
| Mailing Telephone | 6036850150 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16192 | NH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A7110 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100509295 | 05 |
| Street Address |
5 INDUSTRIAL DR |
| City | WINDHAM |
| State | NH |
| Zip Code | 03087-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627781 | Benjamin Paul Sherr | Physical Therapist | 32 Indian Rock Road, Unit 5, Windham, NH 03087 | 2015-08-21 |
| 1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
| 1235412750 | Julie M Ferry | Physical Therapist | 3 Church Road, Windham, NH 03087 | 2011-09-21 |
| 1821308867 | Emlee Paige Betts | Counselor | 46 Lowell Road, Unit 7, Windham, NH 03087 | 2010-10-08 |
| 1851531784 | Serena J Verolla | Nurse Practitioner | 58 Range Rd Ste R-05, Windham, NH 03087 | 2009-03-05 |
| 1619198009 | Katherine Ann Hebert Smith | Occupational Therapist | 3 Industrial Drive, Unit 1, Windham, NH 03087 | 2007-05-01 |
| 1164558532 | Windham Dental Center | Dentist | 25 Indian Rock Road, Suite One, Windham, NH 03087 | 2007-02-27 |
| 1013079862 | Lisa Marie Hatzos | Internal Medicine | 127 Rockingham Road, Suite 103 Elliot Peak Internal Medicine At Windham, Windham, NH 03087 | 2006-12-15 |
| 1669578571 | Aimee Murray | Physician Assistant | 49 Range Rd Ste 104, Windham, NH 03087 | 2006-09-16 |
| 1902852262 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 43 Indian Rock Rd, Windham, NH 03087 | 2006-05-26 |
| Find all providers in zip 03087 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063505782 | Stephen M Donnelly | Pediatrics | 582 Roosevelt Trail, Windham, ME 04062-4904 | 2006-10-02 |
| 1023321593 | Mainehealth | Pediatrics | 584 Roosevelt Trl, Windham, ME 04062 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588033 | Serafin Craig Anderson | Pediatrics | 32 Orchard View Dr, Wilton, NH 03086-5733 | 2011-07-25 |
| 1699954529 | Hala S Tabbah | Pediatrics | 125 South Main Street, Franklin, NH 03235-1508 | 2007-10-27 |
| 1376738096 | Ammonoosuc Community Health Services, Inc | Pediatrics | 40 Railroad St, Woodsville, NH 03785-1118 | 2007-09-06 |
| 1508056391 | Santa C Ngo | Pediatrics | 21 Riverside Dr, Dover, NH 03820-4654 | 2007-07-27 |
| 1174603849 | Derry Pediatrics | Pediatrics | 43 B Birch Street, Derry, NH 03038 | 2006-10-17 |
| 1538255138 | Jane Liechty Glidden | Pediatrics | 116 Spit Brook Rd., Nashua, NH 03062-4216 | 2006-10-04 |
| 1851483986 | Ann C Bracken | Pediatrics | 7 Rope Ferry Rd, Dartmouth College Health Service, Hanover, NH 03755-1404 | 2006-09-28 |
| 1194822437 | Sumana Myneni | Pediatrics | Neonatology- Pediatric Hospitalist, 8 Prospect Street, Nicu, Nashua, NH 03060 | 2006-09-20 |
| 1740296961 | Mark David Weinreb | Pediatrics | 446 Central St, Franklin, NH 03235-1777 | 2006-07-31 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
| 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.