DR. MICHEL JUAN RONDON VIDAL (NPI# 1447416128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447416128 |
| Entity Type | Individual |
| Full Name | DR. MICHEL JUAN RONDON VIDAL |
| Credential | M.D. |
| Practice Address |
330 Borthwick Ave Ste 111 Portsmouth NH 03801-4174 |
| Practice Telephone | 6032944424 |
| Practice Fax Number | 6033191603 |
| Mailing Telephone | 6032944424 |
| Mailing Fax Number | 6033191603 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD449053 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
268558-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C56143 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD18951 | ME | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
C56143 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME 110923 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
14095 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
330 BORTHWICK AVE STE 111 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1760041784 | Jaclyn Heather Johnston | Physician Assistant | 330 Borthwick Ave, Portsmouth, NH 03801-4174 | 2019-06-12 |
| 1215486097 | Chelsey R Andrea | Nurse Practitioner | 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 | 2016-09-22 |
| 1790231660 | Shauna Nancy Sedler | Nurse Practitioner | 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 | 2016-08-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| 1497161228 | Friendship City Acute Trauma LLC | Surgery | 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 | 2014-07-01 |
| 1215354683 | Seacoast Dermatology Pllc | Dermatology | 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 | 2014-03-24 |
| 1174967509 | Sarah E Vandeventer | Physician Assistant | 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 | 2013-04-29 |
| 1316284599 | Nancy K Charest | Audiologist | 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 | 2013-01-09 |
| 1902143100 | Erica L Regan | Audiologist | 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 | 2013-01-08 |
| Find all providers in the same location | ||||
| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226071 | Further Care P A | Psychiatry & Neurology | 330 Borthwick Ave Ste 111, Portsmouth, NH 03801-7110 | 2013-11-25 |
| 1710093174 | Jodi F Marshall | Psychiatry & Neurology | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689911059 | John William Knesevich | Psychiatry & Neurology | 27 Farley Rd, Hollis, NH 03049-5916 | 2013-01-05 |
| 1669737805 | Dartmouth Medical School | Psychiatry & Neurology | 33 Rip Rd, Hanover, NH 03755-1616 | 2012-07-12 |
| 1871757666 | Salud Poblete Mendoza | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857 | 2008-07-11 |
| 1902988124 | Sandeep Sobti | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2006-10-19 |
| 1457912065 | Benjamin Fernandes | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3297 | 2019-06-25 |
| 1215425269 | Thrive Psychiatry Pllc | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857-1846 | 2018-04-25 |
| 1952560690 | Namratha Reddy Boda | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2008-06-06 |
| 1770768269 | Memcare, LLC | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2008-01-03 |
| 1194893495 | Thomas Elliot Oxman | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc, Department of Psychiatry, Lebanon, NH 03756-1000 | 2006-12-04 |
| 1952479271 | Robert B Santulli | Psychiatry & Neurology | 1 Medical Center Drive, Lebanon, NH 03756-0001 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on DR. MICHEL JUAN RONDON VIDAL.
| 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.