PORTSMOUTH EMERGENCY PHYSICIANS PC (NPI# 1710923511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710923511 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH EMERGENCY PHYSICIANS PC |
| Practice Address |
333 Borthwick Ave Portsmouth NH 03801-7128 |
| Practice Telephone | 6034334012 |
| Practice Fax Number | 6034335184 |
| Mailing Telephone | 6034334012 |
| Mailing Fax Number | 6034335184 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | DONAVON ALBERTSON (CHIEF) |
| Authorized Official Telephone | 6034334012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30009958 | 05 | |
| MA | 9720651 | 05 | |
| TUFTS | 612321 | 01 | |
| ME | 142910000 | 05 | |
| OWCP | 101077300 | 01 | |
| RAILROAD MEDICARE | CD6186 | 01 |
| Street Address |
333 BORTHWICK AVE |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1689280109 | Portsmouth Surgical Specialists LLC | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-09-21 |
| 1841808573 | Sarah Beasley | Nurse Practitioner | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-07-20 |
| 1144844044 | Wesley James Phillips | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801 | 2020-06-05 |
| 1093338055 | Neelam Grewal | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-26 |
| 1124641469 | Parisa Yazdani Kashef | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-21 |
| 1972123693 | Thomas Hamilton Warren | Pharmacist | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-22 |
| 1073132460 | Gregory Carbonella | Internal Medicine | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-15 |
| 1942829767 | William Ciurylo | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-11 |
| 1801415021 | Waleed Ismail | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-09 |
| Find all providers in the same location | ||||
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962601229 | Ron Jeffrey Miller | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2007-07-16 |
| 1578505699 | Jason Cheatham | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2006-06-12 |
| 1952343071 | William Angelos | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2006-06-12 |
| 1760420285 | Takaaki Onodera | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2006-06-04 |
| 1699745927 | Todd Justin Ochsner | Emergency Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710618 | Monadnock Community Hospital | Emergency Medicine | 452 Old Street Road, Peterborough, NH 03458-1263 | 2006-05-24 |
| 1811969249 | Juwen Lin | Emergency Medicine | 3 Stone Post Rd, Salem, NH 03079-2245 | 2006-02-01 |
| 1588051668 | Lauren Hyde | Emergency Medicine | 250 Pleasant St, Concord, NH 03301 | 2015-04-16 |
| 1669866141 | Matthew Causland Ruppel | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2015-03-24 |
| 1396030391 | Elizabeth J Hoffman | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2011-06-17 |
| 1982920427 | Stephen G Kraunz | Emergency Medicine | 4 Fairfield Dr, Dover, NH 03820 | 2010-04-08 |
| 1003074832 | Ashley Ann Fox | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2008-05-29 |
| 1124226873 | Eric J Hoffman | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2007-07-04 |
| 1730232232 | Emergency Physicians of Derry Pllc | Emergency Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2007-01-19 |
| 1578627295 | Eric Michael Lasky | Emergency Medicine | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on PORTSMOUTH EMERGENCY PHYSICIANS PC.
| 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.