LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA (NPI# 1851782312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851782312 |
| Entity Type | Organization |
| Organization Name | LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA |
| Practice Address |
44 Birch St Suite 206 Derry NH 03038-2752 |
| Practice Telephone | 6038184712 |
| Practice Fax Number | 6039654063 |
| Mailing Telephone | 6038184714 |
| Mailing Fax Number | 6039654063 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MARK K DETWEILER (OWNER OF PRACTICE) |
| Authorized Official Telephone | 6037449430 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
6919 | NH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851318281 | Londonderry Gastroenterology Associates Pa | Specialist | 1b Commons Dr, Unit 9a, Londonderry, NH 03053-3441 | 2006-07-15 |
| Street Address |
44 BIRCH ST SUITE 206 |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739025 | Anne M Loosmann | Surgery | 44 Birch St, Suite 301, Derry, NH 03038-2752 | 2005-09-08 |
| 1629409503 | Meghan Peschiera | Audiologist-Hearing Aid Fitter | 44 Birch St, Suite 304, Derry, NH 03038-2752 | 2013-12-03 |
| 1750624409 | Natasha Saiyed | Surgery | 44 Birch St, Derry, NH 03038-2752 | 2013-04-01 |
| 1811264559 | Weymouth Surgical LLC | Surgery | 44 Birch St, Suite 206, Derry, NH 03038-2752 | 2011-11-23 |
| 1215267711 | Corinne M Chaar | Dietitian, Registered | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2010-01-05 |
| 1285880377 | Katrina Adele Wayman | Advanced Practice Midwife | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2008-08-08 |
| 1588831390 | Sheri Eng | Physical Therapist | 44 Birch St, Nutfield Professional Building; Suite 300, Derry, NH 03038-2752 | 2008-05-12 |
| 1346421260 | Sandra A. Cullinan | Speech-Language Pathologist | 44 Birch St, Derry, NH 03038-2752 | 2007-11-20 |
| 1043409006 | Coastal New Hampshie Neurosurgeons | Neurological Surgery | 44 Birch St, Suite 207, Derry, NH 03038-2752 | 2007-10-16 |
| 1740471838 | Surgical Associates of Southern New Hampshire, Pllc | Surgery | 44 Birch St, #301, Derry, NH 03038-2752 | 2007-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1457495806 | Leon P. Mclean | Internal Medicine | 6 Tsienneto Rd Ste 301, Derry, NH 03038-1584 | 2007-02-19 |
| 1871660837 | Prakash K Vin Md PC | Internal Medicine | 118 W Fourth Ave, Derry, PA 15627 | 2006-11-28 |
| 1134106990 | Steven Taylor | Internal Medicine | 6 Tsienneto Road, Suite 301, Derry, NH 03038-1584 | 2005-12-22 |
| 1942214457 | Granite State Gastrointestinal Consultants,pllc | Internal Medicine | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 | 2006-07-28 |
| 1154381614 | Knut Roalsvig | Internal Medicine | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189891 | Chengta Richard Dai | Internal Medicine | 168 Kinsley Street, Suite 20, Nashua, NH 03060 | 2006-11-13 |
| 1437229184 | Yuki Igari | Internal Medicine | 20 Chambers Dr, Elliot Gastroenterology, Hooksett, NH 03106-1981 | 2006-11-09 |
| 1922199348 | Northeast Gastroenterology Associates, PC | Internal Medicine | 52 Stiles Rd, Suite 110, Salem, NH 03079-4879 | 2006-09-28 |
| 1851482277 | Maurice B Cohen | Internal Medicine | Northeast Gastroenterology Assoc., PC, 52 Stiles Road Suite 110, Salem, NH 03079 | 2006-09-28 |
| 1477506186 | Scott R Oosterveen | Internal Medicine | 60 Commercial St Ste 404, Concord Hospital Medical Office At Horseshoe Pond, Concord, NH 03301-5096 | 2006-05-17 |
| 1235105701 | Francis Paul Colizzo | Internal Medicine | 4 West Rd, Suite 3 B, Stratham, NH 03885-2602 | 2006-02-24 |
| 1841261278 | Peter L Forssell | Internal Medicine | 454 Old Street Road, Suite 202, Peterborough, NH 03458-1200 | 2006-02-01 |
| 1104825587 | Mark J Silversmith | Internal Medicine | 11 Washington Pl, Bedford, NH 03110-6747 | 2005-07-19 |
| 1992700702 | Stephen M. Wiener | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2005-06-17 |
| 1639174451 | Thomas M Sherman | Internal Medicine | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2005-06-17 |
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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.