DR. GARRETT THOMAS WASP (NPI# 1699119842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699119842 |
| Entity Type | Individual |
| Full Name | DR. GARRETT THOMAS WASP |
| Credential | M.D. |
| Practice Address |
One Medical Center Dr Hematology/oncology Lebanon NH 03756-0001 |
| Practice Telephone | 6036505529 |
| Mailing Telephone | 6036505529 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
17602 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3117458 | 05 | |
| VT | 6701039 | 05 |
| Street Address |
ONE MEDICAL CENTER DR HEMATOLOGY/ONCOLOGY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122359 | Timothy C Ryken | Neurological Surgery | One Medical Center Dr, Neurosurgery, Lebanon, NH 03756-0001 | 2005-08-24 |
| 1437765088 | Amanda L Stauffer | Physician Assistant | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-18 |
| 1346855525 | Lindsay G Trichtinger | Registered Nurse | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-14 |
| 1508477720 | Holly M Newton | Nurse Practitioner | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-11 |
| 1336765320 | Danielle N Shine | Audiologist | One Medical Center Dr, Lebanon, NH 03756-1000 | 2020-06-25 |
| 1093331795 | Kiersten R Lagasse | Nurse Practitioner | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-06-18 |
| 1235755109 | Maria Alkozah | Student in an Organized Health Care Education/Training Program | One Medical Center Dr, Dartmouth Hitchcock's Medical Center Dhmc, Lebanon, NH 03756-0001 | 2020-06-17 |
| 1689297129 | Ann C Maruncic | Student in an Organized Health Care Education/Training Program | One Medical Center Dr, Dhmc Department of Pediatrics, Lebanon, NH 03756-0001 | 2020-05-19 |
| 1083234652 | Elizabeth A Thompson | Audiologist | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-04-23 |
| 1851911804 | Melanie Leanne Rose | Student in an Organized Health Care Education/Training Program | One Medical Center Dr, Dhmc, Lebanon, NH 03756-0001 | 2020-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023260924 | Good Samaritian Physician Services | Internal Medicine | 844 Tuck St, Sechler Family Cancer Center, Lebanon, PA 17042-7477 | 2008-10-22 |
| 1457360471 | Lebanon Oncology & Hematology Assoc. | Internal Medicine | 4th & Willow St, Hyman S Caplan Pavilion, Lebanon, PA 17046 | 2006-08-07 |
| 1841243425 | Tennessee Oncology Pllc | Internal Medicine | 103 Physicians Way Ste 120, Lebanon, TN 37090-4134 | 2006-05-18 |
| 1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
| 1396005641 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2012-05-21 |
| 1083986442 | Alliance Physicians Inc | Internal Medicine | 670 N Broadway St, Lebanon, OH 45036-2590 | 2012-02-01 |
| 1548436520 | Frederick Lansigan | Internal Medicine | 1 Medical Center Dr, Hematology-oncology, Lebanon, NH 03756-1000 | 2008-04-30 |
| 1023294949 | Monic R Drescher | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock- Hematology/oncology, Lebanon, NH 03756-1000 | 2008-01-10 |
| 1366598955 | Gabriel Arne Brooks | Internal Medicine | 1 Medical Center Dr, Medical Oncology, Lebanon, NH 03756-1000 | 2007-01-26 |
| 1629166673 | Steven Hardin | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-11 |
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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.