MARK KENNETH DETWEILER (NPI# 1548344583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548344583 |
| Entity Type | Individual |
| Full Name | MARK KENNETH DETWEILER |
| Credential | M.D. |
| Practice Address |
1b Commons Dr Unit 9a Londonderry NH 03053-3441 |
| Practice Telephone | 6038184712 |
| Practice Fax Number | 6034216899 |
| Mailing Telephone | 6038184712 |
| Mailing Fax Number | 6034216899 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6919 | NH | Other Service Providers |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
6919 | NH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801024187 | Mark Detweiler | Speech-Language Pathologist | 1500 W 12th Ave, Eugene, OR 97402-3705 | 2009-06-25 |
| 1891752374 | Mark Budd Detweiler | Psychiatry & Neurology | 1970 Roanoke Blvd, Veterans Affairs Medical Center, Mhsl (116a7), Salem, VA 24153-6404 | 2006-04-27 |
| Street Address |
1B COMMONS DR UNIT 9A |
| City | LONDONDERRY |
| State | NH |
| Zip Code | 03053-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405142 | Donna M. Eyssi-dow | Social Worker | 1b Commons Dr, Suite #7, Londonderry, NH 03053-3478 | 2006-05-17 |
| 1851318281 | Londonderry Gastroenterology Associates Pa | Specialist | 1b Commons Dr, Unit 9a, Londonderry, NH 03053-3441 | 2006-07-15 |
| 1740225861 | John P Burke | Dentist | 1b Commons Dr, Suite 6, Londonderry, NH 03053-3442 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142380 | Convenientmd LLC | Clinic/Center | 42 Nashua Road, Londonderry, NH 03053 | 2020-10-21 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1619325990 | Darin Gray | Physician Assistant | 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 | 2016-05-27 |
| 1427427574 | Valerie Jean Mazzola | Social Worker | 3 Nutfield Drive, Londonderry, NH 03053 | 2015-09-18 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1780068098 | Paul Timothy Hellings | Orthotist | 136 Harvey Rd Ste A105, Londonderry, NH 03053 | 2015-07-16 |
| 1962805960 | Liani Perez | Social Worker | 5 Picadilly Circle, Londonderry, NH 03053 | 2014-10-03 |
| 1871921007 | Debra Ann Champa | Physical Therapy Assistant | 1 Cardinal Circle, Londonderry, NH 03053 | 2013-10-25 |
| 1649523655 | Granite Strategic Transportation | Private Vehicle | 1 Nashua Road, 26, Londonderry, NH 03053 | 2012-10-16 |
| Find all providers in zip 03053 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184747503 | Joseph Montanaro, Md PC | Specialist | 6 Buttrick Rd Ste 300, Londonderry, NH 03053-3417 | 2007-04-09 |
| 1598994196 | Blair Macdonald | Specialist | 41 Buttrick Rd, Londonderry, NH 03053-3367 | 2009-07-06 |
| 1295950335 | Stacey Marie Kirkpatrick | Specialist | 1 Commons Dr # F, Suite 38, Londonderry, NH 03053-3441 | 2007-04-16 |
| 1932322674 | Rockingham Orthopaedic Associates | Specialist | 18 Orchard View Dr, Londonderry, NH 03053-6605 | 2007-04-11 |
| 1861558645 | Four Seasons Orthopaedic Center Pa | Specialist | 41 Buttrick Rd, Londonderry, NH 03053-3367 | 2006-12-28 |
| 1609971001 | Adam P. Beck Md PC | Specialist | 75 Gilcreast Rd, Suite 210, Londonderry, NH 03053-3564 | 2006-09-13 |
| 1851318281 | Londonderry Gastroenterology Associates Pa | Specialist | 1b Commons Dr, Unit 9a, Londonderry, NH 03053-3441 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639609746 | Kacey Iannucci | Specialist | 401 Cypress St Ste 300, Manchester, NH 03103-3628 | 2017-06-13 |
| 1265970495 | Deanna Lauren Carter | Specialist | 9 Muse Ter, Salem, NH 03079-2921 | 2017-02-08 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1356896039 | Cathyann Rankin Connaughton | Specialist | 30 Edgewood Dr, Hampton, NH 03842-3923 | 2016-08-23 |
| 1851777437 | Allyssa Bedard | Specialist | 4e John Tyler St., Merrimack, NH 03054-4800 | 2015-08-05 |
| 1851770135 | John Rosene | Specialist | 15 Overlook Rd, Unit 1, Campton, NH 03223-1442 | 2015-05-20 |
| 1063816460 | Networked Practices Integration, Pllc | Specialist | 14 Temple Ct, Manchester, NH 03104-3545 | 2014-10-14 |
| 1497154256 | Rebecca Decotiis | Specialist | 728 Fox Hollow Dr, Hudson, NH 03051-4886 | 2014-08-18 |
| 1669896858 | Ted Mulligan | Specialist | 4 Rocky Ln, Durham, NH 03824-1947 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
| City | LONDONDERRY |
| Zip Code | 03053 |
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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.