WENTWORTH DOUGLASS HOSPITAL (NPI# 1558857615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558857615 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Practice Address |
67 Corporate Dr Bldg A Portsmouth NH 03801-2847 |
| Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
| Practice Telephone | 8449373273 |
| Mailing Telephone | 6037404478 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TRISHA GAGNON (DIR. OF REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 6037425252 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
NH | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Corporate Dr Bldg C, Portsmouth, NH 038016895 | 6037428787 | |
| 121 Corporate Drive, Portsmouth, NH 03801 | 6037428787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 1477038461 | Wentworth Douglass Hospital | Clinic/Center | 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 | 2018-09-26 |
| 1366929440 | Wentworth Douglass Hospital | Clinic/Center | 701b Central Ave, Dover, NH 03820-3403 | 2018-07-23 |
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1043669195 | Wentworth Douglass Hospital | Durable Medical Equipment & Medical Supplies | 789 Central Ave, Dover, NH 03820 | 2016-06-09 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| Street Address |
67 CORPORATE DR BLDG A |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1649757733 | Wentworth-douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1780233056 | Speare Health Ventures, Inc. | Clinic/Center | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2019-09-09 |
| 1356828990 | New England Molecular Imaging, LLC | Clinic/Center | 160 S River Rd, Bedford, NH 03110-6927 | 2018-07-26 |
| 1295265411 | Convenientmd LLC | Clinic/Center | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-06-20 |
| 1083008080 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 20 Washington Pl, Bedford, NH 03110-6743 | 2015-03-27 |
| 1487899035 | Salem Radiology LLP | Clinic/Center | 23 Stiles Rd, Ste 102, Salem, NH 03079-2859 | 2008-12-11 |
| 1992834568 | Derry Medical Center | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2007-03-02 |
| 1891834545 | Derry Imaging Center LLC | Clinic/Center | 6 Tsienneto Rd, Suite 100l, Derry, NH 03038-1584 | 2007-02-06 |
| 1275569782 | New England Molecular Imaging, LLC | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038 | 2006-06-25 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on WENTWORTH DOUGLASS HOSPITAL.
| 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.