DR. CHANDLER W MARIETTA (NPI# 1568477982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568477982 |
| Entity Type | Individual |
| Full Name | DR. CHANDLER W MARIETTA |
| Credential | MD |
| Practice Address |
85 Spring Street Ent Associates of New Hampshire Laconia NH 03246-3113 |
| Mailing Address |
85 Spring St Laconia NH 03246-3113 |
| Practice Telephone | 6035247402 |
| Practice Fax Number | 6035240945 |
| Mailing Telephone | 6035247402 |
| Mailing Fax Number | 6035240945 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 15543 | NH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | T0557 | NH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 104228 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3077638 | 05 | |
| NH | LICENSE | 15543 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Commercial St Ste 401, Concord, NH 033015096 | 6037899150 | 6032277592 |
| Street Address |
85 SPRING STREET ENT ASSOCIATES OF NEW HAMPSHIRE |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565980 | Robert Jeffrey Lootens | Internal Medicine | 85 Spring Street, Suite 2a1, Laconia, NH 03246-3113 | 2005-08-22 |
| 1154610020 | Raza M Shariff | Surgery | 85 Spring Street, Weight Institute of New Hampshire, Laconia, NH 03246-3113 | 2011-03-31 |
| 1518124189 | Fady E Abou Rizk | Internal Medicine | 85 Spring Street, Pulmonary & Critical Care Medicine, Laconia, NH 03246-3113 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992024533 | Patrick Ryan Stevens | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2010-05-21 |
| 1144410325 | Jason Rafaele Mangiardi | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912094459 | Littleton Hospital Association | Otolaryngology | 580 St Johnsbury Road, Littleton, NH 03561 | 2006-10-06 |
| 1730113309 | Donald V. Wilson | Otolaryngology | Dartmouth Hitchcock Clinic/keene, 590 Court St, Keene, NH 03431 | 2006-07-10 |
| 1811954712 | Thomas A Chasse | Otolaryngology | 194 Pleasant St Ste 2, Concord, NH 03301-2952 | 2006-04-26 |
| 1366402737 | Steven E Johnson | Otolaryngology | 361 High St, Somersworth, NH 03878-1407 | 2006-03-28 |
| 1407824535 | James E Saunders | Otolaryngology | One Medical Center Dr., Dhmc Division of Otolarynoglogy, Lebanon, NH 03756-0001 | 2006-03-14 |
| 1780673178 | Anders Holm | Otolaryngology | 158 Nh Route 108 Ste B, Dover, NH 03820-8812 | 2005-10-18 |
| 1639162852 | Ashok N Reddy | Otolaryngology | 2300 Southwood Drive, Otolaryngology, Nashua, NH 03063 | 2005-08-23 |
| 1679992887 | Colin Edwards | Otolaryngology | 30 Canton St Ste 2, Manchester, NH 03103-3524 | 2014-04-15 |
| 1679990808 | Ryan E Little | Otolaryngology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2014-03-26 |
| 1295098994 | Brandon W Peck | Otolaryngology | 9 Buzell Ave, Exeter, NH 03833-2522 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
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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.