NEW CREATION HEALING CENTER, INC (NPI# 1477569234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477569234 |
| Entity Type | Organization |
| Organization Name | NEW CREATION HEALING CENTER, INC |
| Practice Address |
80 Route 125 Kingston NH 03848-3535 |
| Practice Telephone | 6036426700 |
| Practice Fax Number | 6036426701 |
| Mailing Telephone | 6036426700 |
| Mailing Fax Number | 6036426701 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-03-05 |
| Authorized Official Name | MARY G PEARSON (COO/PHYSICIAN) |
| Authorized Official Telephone | 6036426700 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 15221 | HEALTHSOURCE | 01 |
| NH | 30900090 | 05 | |
| MA | M17086 | BCBS | 01 |
| MA | 9785515 | 05 | |
| MA | 681554 | TUFTS | 01 |
| Street Address |
80 ROUTE 125 |
| City | KINGSTON |
| State | NH |
| Zip Code | 03848-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568421006 | Judy A Misiaszek | Nurse Practitioner | 80 Route 125, Kingston, NH 03848-3535 | 2006-03-22 |
| 1013481852 | Carolee Jayne Smith | Nurse Practitioner | 80 Route 125, Kingston, NH 03848-3535 | 2019-01-15 |
| 1972649853 | Paula Anne Oliveira | Social Worker | 80 Route 125, Kingston, NH 03848 | 2007-01-29 |
| 1881654135 | Mary G Pearson | Family Medicine | 80 Route 125, Kingston, NH 03848-3535 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528628922 | Shi-iii Kingston LLC | Assisted Living Facility | 193 Main Street, All American At Kingston, Kingston, NH 03848 | 2019-06-18 |
| 1306320874 | Anne Tucker | Speech-Language Pathologist | 193 Main Street, Kingston, NH 03848 | 2018-09-20 |
| 1760444251 | Brian David Shuman | Dentist | 1 Chase St, Kingston, NH 03848-3005 | 2006-04-03 |
| 1922243799 | Matthew Hotz Chiropractor Pllc | Chiropractor | 43 Church St, Kingston, NH 03848-3011 | 2008-12-09 |
| 1275617953 | Matthew Daniel Hotz | Chiropractor | 43 Church St, Kingston, NH 03848-3011 | 2006-10-25 |
| 1780681957 | Maureen Ann Dadekian | Counselor | 2 Marshall Rd, Kingston, NH 03848-3020 | 2005-07-04 |
| 1730612011 | Lisa M Roy | Physical Therapist | 17 Rockrimmon Rd, Kingston, NH 03848-3057 | 2017-04-04 |
| 1205899556 | Mark L Reeder | Family Medicine | 53 Church St Unit 14, Kingston, NH 03848-3072 | 2006-04-08 |
| 1376014514 | Kerry A. Meyer | Nurse Practitioner | 53 Church St Unit 14, Kingston, NH 03848-3072 | 2018-12-16 |
| 1508829078 | Elizabeth A. Lynch | Internal Medicine | 1 Little River Rd, Kingston, NH 03848-3117 | 2006-04-07 |
| Find all providers in zip 03848 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1912423468 | Vintage Direct Primary Care | Family Medicine | 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346-9596 | 2017-08-16 |
| 1063945798 | Danielle Isenburg | Family Medicine | 1240 Ulster Ave Ste 104, Kingston, NY 12401-1517 | 2017-04-10 |
| 1437546140 | Nedal Amin Elass | Family Medicine | 701 Highway 70 E, Kingston, OK 73439-8253 | 2015-04-20 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1033459680 | Health Quest Medical Practice | Family Medicine | 40 Hurley Ave Ste 18, Kingston, NY 12401-3738 | 2013-02-19 |
| 1295064178 | Lakeside Family Medicine | Family Medicine | 21 N. Main Street, Kingston, OK 73439-1798 | 2009-12-23 |
| 1871769125 | Ira Vohra | Family Medicine | 610 Wyoming Ave Ste 1, Kingston, PA 18704-3702 | 2008-05-07 |
| 1801067145 | Michael E Fath, D.o., P.c | Family Medicine | 618 Wyoming Ave, Kingston, PA 18704-3702 | 2008-03-14 |
| 1275702961 | Baptist Healthcare of Oklahoma | Family Medicine | 700 S Muncrief At Hwy 70, Kingston, OK 73439-0762 | 2008-02-27 |
| Find all providers in KINGSTON | ||||
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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.