DR. EDMOND Y YEGANEH


Address: 330 Borthwick Ave, Suite 304, Portsmouth, NH 03801-4174
Phone: 6034313477

DR. EDMOND Y YEGANEH (NPI# 1902870256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902870256
Entity Type Individual
Full Name DR. EDMOND Y YEGANEH
Credential M.D.
Practice Address 330 Borthwick Ave
Suite 304
Portsmouth
NH 03801-4174
Practice Telephone 6034313477
Practice Fax Number 6034309663
Mailing Telephone 6034313477
Mailing Fax Number 6034309663
Enumeration Date 2006-02-14
Last Update Date 2011-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 5840 NH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH 30202280 05

Office Location

Street Address 330 BORTHWICK AVE
SUITE 304
City PORTSMOUTH
State NH
Zip Code 03801-4174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417955691 Charles J Gaudet Plastic Surgery 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 2005-07-12
1760041784 Jaclyn Heather Johnston Physician Assistant 330 Borthwick Ave, Portsmouth, NH 03801-4174 2019-06-12
1215486097 Chelsey R Andrea Nurse Practitioner 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 2016-09-22
1790231660 Shauna Nancy Sedler Nurse Practitioner 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 2016-08-30
1376904409 Samantha Myers Nurse Practitioner 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 2016-03-17
1497161228 Friendship City Acute Trauma LLC Surgery 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 2014-07-01
1215354683 Seacoast Dermatology Pllc Dermatology 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 2014-03-24
1174967509 Sarah E Vandeventer Physician Assistant 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 2013-04-29
1316284599 Nancy K Charest Audiologist 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 2013-01-09
1902143100 Erica L Regan Audiologist 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 2013-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1790262988 Naturae, LLC Naturopath 501 Islington St., Ste 2b, Portsmouth, NH 03801 2018-07-20
1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
1093185415 Johanna Miriam Simmerman Mauss Naturopath 501 Islington Street, Suite 2b, Portsmouth, NH 03801 2015-09-28
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063473395 Timothy Patrick O'malley II Otolaryngology 27 Effingham St, Nmcp Otolaryngology Dept, Portsmouth, VA 23708 2006-03-28
1437156577 William Paul Magdycz Jr. Otolaryngology Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 2005-07-05
1124448881 Jeffrey Martin Schafer Otolaryngology 620 John Paul Jones Circle, Nmcp Ent Otolaryngology, Portsmouth, VA 23708 2014-04-21
1558637975 Craig Robert Folsom Otolaryngology 620 John Paul Jones Cir, Portsmouth, VA 23708 2012-03-29
1699060293 Dinchen Anna Jardine Otolaryngology Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2011-06-13
1073806378 Jeffrey Paul Radabaugh Otolaryngology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2011-05-18
1881841971 Angel Javier Perez Otolaryngology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2008-08-20
1720208820 Ear Nose & Throat Medicine & Surgery of Portsmouth Pa Otolaryngology 330 Borthwick Ave, Suite 304, Portsmouth, NH 03801-7109 2007-04-30
1194886549 Caroline M Schlocker Otolaryngology 620 John Paul Jones Cir, Portsmouth, VA 23708 2006-12-12
1467551861 David Christopher Roska Otolaryngology 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 2006-09-22
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Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

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.

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