WENTWORTH DOUGLASS PHYSICIAN CORPORATION (NPI# 1447352430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447352430 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Practice Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6037404478 |
| Practice Fax Number | 6037402244 |
| Mailing Telephone | 6037404478 |
| Mailing Fax Number | 6037402244 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | TRISHA GAGNON (SENIOR REVENUE MANAGER) |
| Authorized Official Telephone | 6037406510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3084198 | 05 | |
| NH | 3081002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751825 | Wentworth Douglass Physician Corporation | Pharmacist | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2020-08-18 |
| 1710504683 | Wentworth Douglass Physician Corporation | Counselor | 798 Central Ave, Dover, NH 03820-2520 | 2020-06-26 |
| Street Address |
789 CENTRAL AVE |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605200 | Erwin Kurt Tan Cullamar | Internal Medicine | 789 Central Ave, Level 2, Dover, NH 03820-2526 | 2005-08-09 |
| 1770190571 | Holly Pf Goodell | Speech-Language Pathologist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-25 |
| 1164037115 | Lindsay Carrier | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-15 |
| 1184239493 | Danielle Marie Amero | Occupational Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-14 |
| 1093320566 | Karissa Mondoux | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-11 |
| 1417571944 | Sarah M Bolduc | Nurse Anesthetist, Certified Registered | 789 Central Ave, Dover, NH 03820-2526 | 2020-06-01 |
| 1104447986 | Sonya Anne Kara | Pharmacist | 789 Central Ave, Dover, NH 03820-2526 | 2020-05-02 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1386119469 | Elizabeth J Eaton | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-04 |
| 1073008736 | Rachel L Velardi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-06-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1306208905 | Gregory Ivan Berk | Internal Medicine | 133 Claybrook Rd, Dover, MA 02030-2116 | 2016-03-23 |
| 1750346698 | Rishi Sawhney | Internal Medicine | 640 S State St Fl 2, Dover, DE 19901-3530 | 2006-04-20 |
| 1093770406 | Kathrina L Chua | Internal Medicine | 640 S Governors Ave, Dover, DE 19904-3525 | 2006-04-19 |
| 1578566170 | Lamberto Magno Arellano | Internal Medicine | 811 Monroe Ter, Dover, DE 19904-4117 | 2005-05-27 |
| 1578990727 | Abeer A Alfaraj | Internal Medicine | 640 S State St, Dover, DE 19901-3530 | 2013-10-02 |
| 1376750562 | Christine Lynn Wasilewski | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2007-05-17 |
| 1083766786 | Amy Claire Bessnow | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2007-01-16 |
| 1164453395 | Prashant Shankar | Internal Medicine | 789 Central Ave, Dover, NH 03820 | 2006-07-05 |
| 1376508812 | Henry L Sonneborn | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2006-04-18 |
| 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 |
| 1710971684 | Douglas J Weckstein | Internal Medicine | 200 Technology Dr, Hooksett, NH 03106-2504 | 2005-09-07 |
| 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 |
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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.