DERRY IMAGING CENTER LLC (NPI# 1891834545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891834545 |
| Entity Type | Organization |
| Organization Name | DERRY IMAGING CENTER LLC |
| Practice Address |
6 Tsienneto Rd Suite 100l Derry NH 03038-1584 |
| Practice Telephone | 6035371300 |
| Practice Fax Number | 6035371324 |
| Mailing Telephone | 6035371300 |
| Mailing Fax Number | 6035371324 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | DORREN DALLON (OFFICE MANAGER) |
| Authorized Official Telephone | 6035371337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 9938751 | 01 |
| NH | AETNA | 7128517 | 01 |
| NH | HARVARD | NH1602 | 01 |
| NH | ANTHEM BCBS | 76Y007482NH01 | 01 |
| Street Address |
6 TSIENNETO RD SUITE 100L |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282375 | Jeffrey D Rind | Pediatrics | 6 Tsienneto Rd, Suite 302, Derry, NH 03038-1584 | 2005-08-12 |
| 1295336436 | Marcus Armando Vesprini | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2020-11-04 |
| 1154976447 | Patrick James Carolan | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-08-05 |
| 1063066298 | Sarah Matson | Nurse Practitioner | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-07-25 |
| 1831613736 | Morgan Rose Segale | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2017-08-01 |
| 1518363415 | Adam J Lurgio | Physician Assistant | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 2014-11-05 |
| 1700214251 | Michelle Joan Cleary | Nurse Practitioner | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2013-10-18 |
| 1033542717 | Robin Elizabeth Laberge | Physician Assistant | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 | 2013-08-16 |
| 1548514714 | Haley Mcmahon | Physician Assistant | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2012-11-09 |
| 1245507953 | Jessica E Judkins | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038 | 2011-11-23 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834568 | Derry Medical Center | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2007-03-02 |
| 1275569782 | New England Molecular Imaging, LLC | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1780233056 | Speare Health Ventures, Inc. | Clinic/Center | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2019-09-09 |
| 1356828990 | New England Molecular Imaging, LLC | Clinic/Center | 160 S River Rd, Bedford, NH 03110-6927 | 2018-07-26 |
| 1295265411 | Convenientmd LLC | Clinic/Center | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-06-20 |
| 1083008080 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 20 Washington Pl, Bedford, NH 03110-6743 | 2015-03-27 |
| 1487899035 | Salem Radiology LLP | Clinic/Center | 23 Stiles Rd, Ste 102, Salem, NH 03079-2859 | 2008-12-11 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| 1992752604 | White Mountain Radiology Inc | Clinic/Center | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2006-05-28 |
| 1669438461 | Bedford Medical Imaging Center, LLC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-21 |
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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.