DR. BRIAN SPONSELLER (NPI# 1891984647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891984647 |
| Entity Type | Individual |
| Full Name | DR. BRIAN SPONSELLER |
| Credential | MD |
| Practice Address |
3073 White Mountain Hwy North Conway NH 03860-7101 |
| Mailing Address |
Po Box 2540 North Conway NH 03860-2540 |
| Practice Telephone | 6033565472 |
| Mailing Telephone | 6033565472 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14575 | NH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 50976-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2299-850 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3073 WHITE MOUNTAIN HWY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1649826413 | Cynthia Hellstein Walsh | Occupational Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-08-16 |
| 1134781602 | Nicole M Veilleux | Advanced Practice Midwife | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-07-03 |
| 1952962979 | Michelle Renee Mattei | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-21 |
| 1689234700 | Adam Scheletsky | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-20 |
| 1053970202 | Marla A Browning | Speech-Language Pathologist | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-06-11 |
| 1124683594 | Melanie Glavin | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-05-01 |
| 1215497631 | Kathryn Villarevia | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-03-21 |
| 1003384488 | Austin Creer | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-11-05 |
| 1235638057 | Jodi Tracy | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| 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 |
|---|---|---|---|---|
| 1942295183 | Warren W Chin | Family Medicine | 3073 White Mountain Hwy., North Conway, NH 03860-5111 | 2005-09-14 |
| 1194364083 | Cranmore Health Partners, LLC | Family Medicine | 1857 White Mountain Hwy, North Conway, NH 03860-0381 | 2019-12-26 |
| 1972956381 | Ramnik Kaur | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2016-07-20 |
| 1568800639 | Mahala R Patrick | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860 | 2013-06-11 |
| 1790071405 | James Blaney Ford Jr. | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860 | 2011-06-21 |
| 1053549394 | Rachel Rebecca Hamilton | Family Medicine | 3073 White Mountain Hwy, Memorial Hospital, North Conway, NH 03860-7101 | 2009-06-25 |
| 1215115639 | William J Martin | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2008-02-07 |
| 1073712725 | Sohaib Siddiqui | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2007-07-13 |
| 1508969817 | James L Glazer | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2006-09-06 |
| 1689645566 | Craig M Smith | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860 | 2006-01-30 |
| Find all providers in NORTH CONWAY | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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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.