NATHANIEL JOHN IRVINE (NPI# 1457713117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457713117 |
Entity Type | Individual |
Full Name | NATHANIEL JOHN IRVINE |
Other Name | NATE JOHN IRVINE |
Credential | M.D. |
Practice Address |
Naval Branch Health Clinic Portsmouth 1 Ayres Circle Portsmouth NH 03904 |
Practice Telephone | 4018414522 |
Enumeration Date | 2016-03-22 |
Last Update Date | 2017-12-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 0101262985 | VA | Allopathic & Osteopathic Physicians |
Street Address |
NAVAL BRANCH HEALTH CLINIC PORTSMOUTH 1 AYRES CIRCLE |
City | PORTSMOUTH |
State | NH |
Zip Code | 03904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
1780753855 | Richard Anthony Lebro | Chiropractor | 135 Rogers Road, Kittery, ME 03904 | 2006-11-06 |
Find all providers in zip 03904 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255611950 | Philip Oldham Geib | General Practice | 4309 Duke Dr, Portsmouth, VA 23703-4912 | 2011-08-25 |
1730469990 | Raynido Champ | General Practice | 4440 Hatton Point Rd, Portsmouth, VA 23703-4002 | 2011-08-19 |
1871897058 | Raphael F. Guanzon, M.d., Pllc | General Practice | 704 London St, Suite A, Portsmouth, VA 23704-2413 | 2011-01-03 |
1184732992 | Raphael Fajardo Guanzon | General Practice | 704 London St # A, Portsmouth, VA 23704-2413 | 2006-08-29 |
1356329304 | Hermann Francisco Gonzalez | General Practice | 3145 Sterling Way, Portsmouth, VA 23703-4538 | 2006-01-09 |
1598225583 | Benjamin Frederick Wilson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-25 |
1871052084 | Michael Anthony Rizzo | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-18 |
1891294773 | Aaron Kyle Rochester | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-02-06 |
1609305697 | Kelsey Christine Van Bokkem | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-06-05 |
1922539980 | John Demis | General Practice | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2017-03-22 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 03904 |
Please comment or provide details below to improve the information on NATHANIEL JOHN IRVINE.
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.