MR. KYLE VANOOSTENDORP (NPI# 1528430261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528430261 |
| Entity Type | Individual |
| Full Name | MR. KYLE VANOOSTENDORP |
| Credential | PA-C |
| Practice Address |
17 Prospect St Nashua NH 03060-3956 |
| Mailing Address |
Po Box 3677 Nashua NH 03061-3677 |
| Practice Telephone | 6035772663 |
| Practice Fax Number | 6035773366 |
| Mailing Telephone | 6035777900 |
| Mailing Fax Number | 6035777972 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1128 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 PROSPECT ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336614 | Ilana Itenberg | Podiatrist | 17 Prospect St, Nashua, NH 03060-3956 | 2005-09-13 |
| 1295377992 | Catalina Keeffe | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2019-10-14 |
| 1649683129 | Tricia Renee Jette-gonthier | Nurse Practitioner | 17 Prospect St, Suite N 203, Nashua, NH 03060-3956 | 2014-06-03 |
| 1396089827 | Foundation Medical Partners Inc. | Durable Medical Equipment & Medical Supplies | 17 Prospect St, Nashua, NH 03060-3923 | 2012-11-21 |
| 1629333182 | David Posnick | Dermatology | 17 Prospect St, Nashua, NH 03060-3956 | 2012-07-11 |
| 1861683468 | Lyudmila Kirillova | Internal Medicine | 17 Prospect St, Nashua, NH 03060-3956 | 2007-08-07 |
| 1508056383 | Amanda Lynn Ponti | Nurse Practitioner | 17 Prospect St, Nashua, NH 03060-3956 | 2007-07-27 |
| 1568673010 | Kristie A Frank | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2007-05-25 |
| 1134243827 | Brenda J. Lawrence | Internal Medicine | 17 Prospect St, Suite N-103, Nashua, NH 03060-3923 | 2007-03-19 |
| 1538295928 | Eric C. Chang | Neurological Surgery | 17 Prospect St, Nashua, NH 03060-3956 | 2007-02-27 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477062693 | Ingrid M Olsson | Physician Assistant | 17 Prospect St Ste N203, Nashua, NH 03060-3964 | 2017-09-20 |
| 1326317215 | Ryan J. Guilfoyle | Physician Assistant | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2011-12-21 |
| 1831328517 | Andrea Rines | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2009-07-02 |
| 1912012196 | Kame Gwen Mcauliffe | Physician Assistant | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2006-08-20 |
| 1427163351 | Joseph Thomas Kearns | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2006-08-20 |
| 1003834821 | Maureen Knepp | Physician Assistant | 21 E Hollis St, Dartmouth Hitchcock Clinic, Nashua, NH 03060-2928 | 2006-07-18 |
| 1619925278 | Susan M Finerty | Physician Assistant | 17 Riverside St, Suite 201, Nashua, NH 03062-1373 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053914 | Scott David Mithoefer | Physician Assistant | 155 Borthwick Ave Ste 101, Portsmouth, NH 03801-7156 | 2018-05-10 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1245538990 | Megan S Welch | Physician Assistant | 16 Pelham Rd Ste 1, Salem, NH 03079 | 2011-03-04 |
| 1457515223 | Georgia A Plamondon | Physician Assistant | 248 Pleasant St Ste G200, Concord, NH 03301-7529 | 2008-07-11 |
| 1447364393 | Denise C Smith | Physician Assistant | 3 Alumni Dr Ste 402, Exeter, NH 03833-2123 | 2006-08-18 |
| 1114947850 | David Harrison Sargent | Physician Assistant | 246 Pleasant St Ste 205, Concord, NH 03301-2548 | 2006-07-19 |
| 1861441545 | Kevin Robert Costello | Physician Assistant | 458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 | 2006-05-09 |
| 1619934932 | Carolyn M Guillette | Physician Assistant | 3 Alumni Dr Ste 204, Exeter, NH 03833-2122 | 2006-04-28 |
| 1427038751 | Lawrence O'malley | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2006-01-20 |
| 1306830153 | Peter Garfield Shactman | Physician Assistant | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2005-09-08 |
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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.