THE SKIN & LASER SURGERY CENTER OF NE (NPI# 1497706691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497706691 |
| Entity Type | Organization |
| Organization Name | THE SKIN & LASER SURGERY CENTER OF NE |
| Practice Address |
74 Allds St Nashua NH 03060-4757 |
| Mailing Address |
74 Allds St Nashua NH 03060-4745 |
| Practice Telephone | 6038865506 |
| Practice Fax Number | 6035942585 |
| Mailing Telephone | 6038865506 |
| Mailing Fax Number | 6035942585 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | KHALIL A KHATRI (OWNER) |
| Authorized Official Telephone | 6038865506 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | HEALTHSOURCE | 46467 | 01 |
| NH | AETNA | 2125631 | 01 |
| NH | TUFTS HEALTH PLAN | 336743 | 01 |
| Street Address |
74 ALLDS ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912057019 | Ernest Michael Marino | Dentist | 74 Allds St, Ste 4, Nashua, NH 03060-4757 | 2007-01-11 |
| 1093729162 | Danielle L Mahoney | Registered Nurse | 74 Allds St, Nashua, NH 03060-4757 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1003896036 | Stephen D Moyer | Dermatology | 589 W Hollis St, Nashua, NH 03062-1310 | 2006-01-17 |
| 1629333182 | David Posnick | Dermatology | 17 Prospect St, Nashua, NH 03060-3956 | 2012-07-11 |
| 1467680280 | Parisa R Jordan | Dermatology | 2300 Southwood Dr, Dhmc Department of Dermatology, Nashua, NH 03063-1818 | 2009-07-01 |
| 1376736330 | Waldman Plastic Surgery and Dermatology, Pllc | Dermatology | 166 Kinsley St, Suite 203, Nashua, NH 03060-3676 | 2007-08-23 |
| 1962572305 | Michael David Lichter | Dermatology | 505 W Hollis St, Nashua, NH 03062-1358 | 2006-11-09 |
| 1982784823 | Mollie A. Maccormack | Dermatology | 17 Prospect St, Nashua, NH 03060-3956 | 2006-10-16 |
| 1497866388 | Robert Bruce Posnick | Dermatology | 505 W Hollis St, Suite 111, Nashua, NH 03062-1358 | 2006-08-31 |
| 1053426015 | Edward W Frank | Dermatology | 76 Allds St, Nashua, NH 03060-4758 | 2006-08-20 |
| 1487682415 | Levitt Medical, P.a. | Dermatology | 5 Coliseum Ave, Nashua, NH 03063-3206 | 2006-06-29 |
| Find all providers in NASHUA | ||||
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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.