DR. MEREDITH J SELLECK (NPI# 1417908211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417908211 |
| Entity Type | Individual |
| Full Name | DR. MEREDITH J SELLECK |
| Credential | MD |
| Practice Address |
200 Technology Dr Hooksett NH 03106-2504 |
| Practice Telephone | 6036226484 |
| Practice Fax Number | 6036227438 |
| Mailing Telephone | 6036226484 |
| Mailing Fax Number | 6036227438 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
11936 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 27617 | 01 |
| NH | 30203793 | 05 | |
| NH | UNITED HEALTHCARE | 36-00344 | 01 |
| NH | ANTHEM | 01Y005195NH01 | 01 |
| Street Address |
200 TECHNOLOGY DR |
| City | HOOKSETT |
| State | NH |
| Zip Code | 03106-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971684 | Douglas J Weckstein | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2005-09-07 |
| 1114573151 | Corneliu Mircea Ilea | Physician Assistant | 200 Technology Dr, Hooksett, NH 03106-2504 | 2019-08-15 |
| 1508394024 | Kathi R Fournier | Nurse Practitioner | 200 Technology Dr, Hooksett, NH 03106-2504 | 2017-05-28 |
| 1962765487 | Albina Kibirova | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106 | 2012-06-19 |
| 1780718684 | Mary T Baillargeon | Physician Assistant | 200 Technology Dr, Hooksett, NH 03106-2504 | 2007-03-15 |
| 1467485870 | New Hampshire Oncology-hematology Pa | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-07-09 |
| 1891726311 | Tonya Anne Perrino | Physician Assistant | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-07-05 |
| 1740233816 | Peter H Crow | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-18 |
| 1801849989 | Danny M Sims | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-18 |
| 1912958703 | Gina M Divenuti | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083166797 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2500 N. River Road, Manchester, NH 03106 | 2016-10-28 |
| 1851728935 | Kerri Lin Federico | Pharmacist | 100 Quality Drive, Hooksett, NH 03106 | 2013-10-03 |
| 1164692406 | Town of Hooksett | Ambulance | 15 Legends Dr, Hooksett, NH 03106 | 2008-03-03 |
| 1255501532 | Endless Smile Family Dental Center LLC | Dentist | 45 London Derry Turnpike, Suite #3, Hooksett, NH 03106 | 2008-03-03 |
| 1831312990 | Fredrick M Vega | Dentist | 311 W. River Road, Suite #2, Hooksett, NH 03106 | 2007-04-10 |
| 1417087941 | Robert P Hockmuth | Family Medicine | Two College Park Drive, Cigna Healthcare, Hooksett, NH 03106 | 2007-03-06 |
| 1437243052 | Darcy A Crisp | Chiropractor | 1100 Hooksett Rd, Suite 102, Hooksett, NH 03106 | 2006-10-03 |
| 1477562353 | David J. Kehas | Family Medicine | 20 Chambers Rd, Elliot Family Medicine At Hooksett, Hooksett, NH 03106 | 2006-08-07 |
| 1891711156 | Garrick J Johnson | Physician Assistant | 200 Technology Drive, New Hampshire Oncology Hematology Pa, Hooksett, NH 03106 | 2006-07-13 |
| 1063475697 | Alfredo J Perez | Internal Medicine | Hooksett Primary Care, 11 Kimball Drive, Hooksett, NH 03106 | 2006-04-06 |
| Find all providers in zip 03106 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971684 | Douglas J Weckstein | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2005-09-07 |
| 1467485870 | New Hampshire Oncology-hematology Pa | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-07-09 |
| 1740233816 | Peter H Crow | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-18 |
| 1801849989 | Danny M Sims | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-18 |
| 1912958703 | Gina M Divenuti | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622801 | Yoko Fukuda | Internal Medicine | 155 Borthwick Ave Ste C, Portsmouth, NH 03801-7156 | 2008-06-10 |
| 1063470011 | Zachary S Spigelman | Internal Medicine | 6 Tsienneto Rd Ste 204, Derry, NH 03038-1584 | 2006-05-01 |
| 1356302822 | Nancy S Chun | Internal Medicine | 10 Prospect St., Second Floor, Nashua, NH 03060 | 2006-03-31 |
| 1831175314 | John Posner | Internal Medicine | 166 Kinsley St, Nashua, NH 03060-3676 | 2005-12-16 |
| 1346223385 | Gabriele Southgate | Internal Medicine | 87 Mcgregor Street, Hematology/oncology, Manchester, NH 03102 | 2005-11-23 |
| 1649271438 | Phillip Joseph Manno | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2005-08-03 |
| 1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
| 1568803971 | Sivraj Muralikrishnan | Internal Medicine | 2300 Southwood Dr, Nashua, NH 03063 | 2013-07-13 |
| 1699119842 | Garrett Thomas Wasp | Internal Medicine | One Medical Center Dr, Hematology/oncology, Lebanon, NH 03756-0001 | 2013-04-18 |
| 1578705307 | Oncology Center | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MEREDITH J SELLECK.
| 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.