NEW HAMPSHIRE DERM CLINIC, PLLC (NPI# 1881042828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881042828 |
| Entity Type | Organization |
| Organization Name | NEW HAMPSHIRE DERM CLINIC, PLLC |
| Practice Address |
452 Old Street Rd Peterborough NH 03458-1263 |
| Mailing Address |
8 Aspen Way Stratham NH 03885-2166 |
| Practice Telephone | 8608003376 |
| Mailing Telephone | 8068003376 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | BRIAN CROMER (MANAGER) |
| Authorized Official Telephone | 8068003376 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
05812823 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
452 OLD STREET RD |
| City | PETERBOROUGH |
| State | NH |
| Zip Code | 03458-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676104 | Monadnock Community Hospital | Psychologist | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2005-11-14 |
| 1083235063 | Joshua David Paradis | Physical Therapist | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2020-05-01 |
| 1922652528 | Kaitlyn Mccarthy | Dietitian, Registered | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2019-07-31 |
| 1437715422 | Sara Vilhelmina Markot | Physical Therapist | 452 Old Street Rd, Peterborough, NH 03458-1295 | 2019-05-15 |
| 1013400985 | Sherri Walden | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2018-06-14 |
| 1699265512 | Tara A. Nelligan | Physician Assistant | 452 Old Street Rd, Peterborough, NH 03458 | 2018-05-16 |
| 1558811208 | Melody L Moschan | Nurse Practitioner | 452 Old Street Rd, Monadnock Community Hospital, Peterborough, NH 03458-1263 | 2016-10-06 |
| 1194123646 | Mark Allen Strutt | Nurse Anesthetist, Certified Registered | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2014-12-16 |
| 1639507056 | Sheena Mcaroy | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2013-10-22 |
| 1124396213 | Julie Ann Jungwirth | Dietitian, Registered | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737608 | Amy Sue Odell Wilson | Acupuncturist | 78 Concord Street, Peterborough, NH 03458 | 2020-03-30 |
| 1144787037 | Aaron Cubbage | Massage Therapist | 20 Depot Street, Suite 310-3, Peterborough, NH 03458 | 2019-02-27 |
| 1285152892 | Taylor Joan Cordts | Physical Therapist | 150 Rivermead Road, Peterborough, NH 03458 | 2017-09-03 |
| 1659892701 | Ga Perry Dds Peterborough Pllc | Dentist | 70 Main Street, Suite 202, Ga Perry Dds Peterborough Pllc, Peterborough, NH 03458 | 2017-06-29 |
| 1356889901 | Brittany Molino | Physician Assistant | 458 Old Street Rd Ste 200, Peterborough, NH 03458 | 2017-02-03 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1891050530 | Lara Kroodsma, Psyd, Pllc | Community/Behavioral Health | 25b Steele Rd, Peterborough, NH 03458 | 2012-07-09 |
| 1073817664 | Linda M Perry | Counselor | 7 Vose Farm Road, Peterborough, NH 03458 | 2010-12-22 |
| 1396071619 | Siobhan K Benham | Nurse Practitioner | 109c Grove Street, Peterborough, NH 03458 | 2009-10-21 |
| 1245488253 | Barbara Lloyd | Counselor | 9 Vose Road, Peterborough, NH 03458 | 2008-09-03 |
| Find all providers in zip 03458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396071619 | Siobhan K Benham | Nurse Practitioner | 109c Grove Street, Peterborough, NH 03458 | 2009-10-21 |
| 1013400985 | Sherri Walden | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2018-06-14 |
| 1568983328 | Lauren Margaret Stacy | Nurse Practitioner | 454 Old Street Rd, Peterborough, NH 03458-1200 | 2017-07-03 |
| 1639507056 | Sheena Mcaroy | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2013-10-22 |
| 1750462305 | Margaret E. Kelly | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-10-18 |
| 1598749855 | Lynne R Stone | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2005-11-30 |
| 1356323018 | Lynn W Batchelder | Nurse Practitioner | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534864 | Jayme Newell | Nurse Practitioner | 73 Elanor Way, Weare, NH 03281-5560 | 2020-09-28 |
| 1417563560 | Virtualnp, LLC | Nurse Practitioner | 11 Melissa Dr, Nashua, NH 03062-3643 | 2020-09-23 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1720694334 | Alainna Belanger Drieze | Nurse Practitioner | 11 Fieldstone Dr, Londonderry, NH 03053-2700 | 2020-09-18 |
| 1316559073 | Lisa R Kailey | Nurse Practitioner | 49 Colt Ln, Epping, NH 03042-3142 | 2020-08-23 |
| 1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
| 1457962623 | Kelsey Kilgore | Nurse Practitioner | 175 Hurricane Hill Rd, Mason, NH 03048-3903 | 2020-08-12 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1629691894 | Johanna Rodriguez | Nurse Practitioner | 62 Albin Rd, Bow, NH 03304-3707 | 2020-05-22 |
| 1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
| City | PETERBOROUGH |
| Zip Code | 03458 |
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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.