MR. DAVID J ITKIN (NPI# 1760476667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760476667 |
| Entity Type | Individual |
| Full Name | MR. DAVID J ITKIN |
| Credential | MD |
| Practice Address |
330 Borthwick Ave Suite 210 Portsmouth NH 03801-4174 |
| Practice Telephone | 6034338733 |
| Practice Fax Number | 6034338834 |
| Mailing Telephone | 6034338733 |
| Mailing Fax Number | 6034338834 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2017-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
016418 | ME | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
8392 | NH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 8392 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3082964 | 05 |
| Street Address |
330 BORTHWICK AVE SUITE 210 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1760041784 | Jaclyn Heather Johnston | Physician Assistant | 330 Borthwick Ave, Portsmouth, NH 03801-4174 | 2019-06-12 |
| 1215486097 | Chelsey R Andrea | Nurse Practitioner | 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 | 2016-09-22 |
| 1790231660 | Shauna Nancy Sedler | Nurse Practitioner | 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 | 2016-08-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| 1497161228 | Friendship City Acute Trauma LLC | Surgery | 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 | 2014-07-01 |
| 1215354683 | Seacoast Dermatology Pllc | Dermatology | 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 | 2014-03-24 |
| 1174967509 | Sarah E Vandeventer | Physician Assistant | 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 | 2013-04-29 |
| 1316284599 | Nancy K Charest | Audiologist | 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 | 2013-01-09 |
| 1902143100 | Erica L Regan | Audiologist | 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 | 2013-01-08 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1851632467 | Alfred Gordon Smith IIi | Internal Medicine | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2013-03-06 |
| 1679892897 | Somc Medical Care Foundation, Inc. | Internal Medicine | 1735 27th St, Waller Building, Suite 102, Portsmouth, OH 45662-2677 | 2010-05-27 |
| 1063673986 | Maja Babic | Internal Medicine | 1735 27th St, Waller Building, Suite 206, Portsmouth, OH 45662-2677 | 2008-06-23 |
| 1689752644 | Manali R Patel | Internal Medicine | 3636 High St, Portsmouth, VA 23707 | 2006-11-01 |
| 1083797948 | Kristina Jacquelyn St.clair | Internal Medicine | 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2006-10-23 |
| 1356315360 | Jason Douglas Maguire | Internal Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-02-15 |
| 1407845050 | Appledore Medical Group, Inc | Internal Medicine | 330 Borthwick Ave, Suite 200, Portsmouth, NH 03801-4174 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427010636 | Alexander Brian Granok | Internal Medicine | 399 Dw Hwy, Merrimack, NH 03054-4112 | 2006-04-04 |
| 1437111796 | Elizabeth C Clark | Internal Medicine | 399 Daniel Webster Hwy, Merrimack, NH 03054-4112 | 2006-04-03 |
| 1508127499 | Colleen M Kershaw | Internal Medicine | One Medical Center Drive, Section of Infectious Disease, Lebanon, NH 03756 | 2012-06-06 |
| 1982990610 | Ekaterina Klevtsova | Internal Medicine | 399 Daniel Webster Hwy, Merrimack, NH 03054-4112 | 2011-06-21 |
| 1154637031 | Nida Arif | Internal Medicine | 399 Daniel Webster Hwy, Merrimack, NH 03054-4112 | 2010-08-30 |
| 1407017684 | Joshua Andrew White | Internal Medicine | 246 Pleasant St, Memorial Building Suite 104, Concord, NH 03301-2548 | 2008-06-20 |
| 1245428093 | Sharon Alroy-preis | Internal Medicine | 1 Medical Center Dr, Dhmc Infectious Disease Department, Lebanon, NH 03756-1000 | 2007-10-05 |
| 1437202876 | Ruta Shah | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-01-19 |
| 1982756664 | Michael S Calderwood | Internal Medicine | 1 Medical Center Dr, Infectious Disease, Lebanon, NH 03756-1000 | 2007-01-16 |
| 1114099702 | Irene Patterson Rupp Hodge | Internal Medicine | 21 Whitehall Rd, Suite 200, Rochester, NH 03867-3236 | 2006-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.