DR. DOUGLAS MICHAEL PHELAN (NPI# 1760896849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760896849 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MICHAEL PHELAN |
| Credential | DO, MPH |
| Practice Address |
25 Leavey Dr Bedford NH 03110-4437 |
| Practice Telephone | 6034727233 |
| Practice Fax Number | 6034729188 |
| Mailing Telephone | 6034727233 |
| Mailing Fax Number | 6034729188 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19603 | NH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Leavey Dr, Bedford, NH 031104437 | 6034727233 |
| Street Address |
25 LEAVEY DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205033990 | Andrea H Greenfeld | Internal Medicine | 25 Leavey Dr, Bedford, NH 03110 | 2007-06-27 |
| 1356822803 | Lisa Spurrell | Counselor | 25 Leavey Dr, Bedford, NH 03110-4437 | 2018-08-23 |
| 1326592890 | Christine Christophersen | Registered Nurse | 25 Leavey Dr, Bedford, NH 03110 | 2016-08-12 |
| 1578927976 | Sashka Luque | Pediatrics | 25 Leavey Dr, Bedford, NH 03110 | 2016-04-12 |
| 1598032641 | Aimee Margaret Arsenian | Counselor | 25 Leavey Dr, Bedford, NH 03110-4437 | 2011-11-17 |
| 1194907279 | Rowella Licup Sirbiladze | Internal Medicine | 25 Leavey Dr, Bedford, NH 03110-4437 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437585197 | Gordon Edward Carruthers | Family Medicine | 14 Appleby Dr, Bedford, NY 10506 | 2013-09-25 |
| 1477799435 | First You Physician House Calls Psc | Family Medicine | 18 Alexander Ave Unit 1, Bedford, KY 40006-1114 | 2008-12-22 |
| 1396909651 | Glendal Ray Dow | Family Medicine | 1320 Hardisty Rd, Bedford, TX 76021-6522 | 2008-07-16 |
| 1770784308 | Dunn Memorial Hospital | Family Medicine | 1620 25th St, Bedford, IN 47421-5000 | 2007-05-30 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| 1750420303 | Ruth D Jones | Family Medicine | 342 S Richard St, Bedford, PA 15522-1743 | 2007-02-06 |
| 1841358876 | First You Medical Center Pllc | Family Medicine | 18 Alexander Ave, Unit 1, Bedford, KY 40006-1114 | 2006-12-04 |
| 1285708511 | Trimble Family Practice, LLC | Family Medicine | 470 Highway 421, Bedford, KY 40006-0247 | 2006-11-20 |
| 1346321262 | Deborah Brindza | Family Medicine | 22750 Rockside Rd Ste 210, Bedford, OH 44146-1576 | 2006-10-18 |
| 1982794020 | Leonard Joel Cohen | Family Medicine | 582 Blue Ridge Ave., Bedford, VA 24523 | 2006-10-12 |
| Find all providers in BEDFORD | ||||
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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.