MYRA CITRIN (NPI# 1962521278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962521278 |
| Entity Type | Individual |
| Full Name | MYRA CITRIN |
| Credential | M.D. |
| Practice Address |
20 Main St Exeter NH 03833-2438 |
| Practice Telephone | 6037773420 |
| Practice Fax Number | 6037774391 |
| Mailing Telephone | 6037773420 |
| Mailing Fax Number | 6037774391 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
8008 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
20 MAIN ST |
| City | EXETER |
| State | NH |
| Zip Code | 03833-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445175 | Wm. Gordon Coole Jr. | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2006-04-07 |
| 1922414887 | Adam Hernandez | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2014-07-10 |
| 1427193804 | Tracy Coole | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1013072008 | Scott Thomas Bleakley | Social Worker | 163 Water Street, Exeter, NH 03833 | 2006-12-27 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| Find all providers in zip 03833 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821135534 | Anna Maria Konopka | Pediatrics | 92 Bunker Rd, New London, NH 03257 | 2007-01-31 |
| 1447235270 | Bridget L Olsen | Pediatrics | 116 Spit Brook Rd, Nashua, NH 03062-4216 | 2005-12-14 |
| 1104085638 | Pediatric Associates of Hampton & Portsmouth PC | Pediatrics | 330 Borthwick Ave, Suite 202, Portsmouth, NH 03801-4174 | 2008-06-09 |
| 1851413181 | Joann Lopez-valles | Pediatrics | 125 S Main St, Franklin, NH 03235-1508 | 2007-04-06 |
| 1528184439 | Bedford Pediatrics, P.a. | Pediatrics | 360 Route 101, Unit 7b, Bedford, NH 03110-5030 | 2007-03-22 |
| 1700959897 | Rochester Pediatrics | Pediatrics | 163 Rochester Hill Rd, Rochester, NH 03867-1728 | 2006-11-16 |
| 1417027509 | Ana Maria Ferrer | Pediatrics | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
| 1780772160 | Clare Nichols Drebitko | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-10 |
| 1871605022 | Marjan Makatam-abrams | Pediatrics | One Elliot Way, Elliot Hospital Hospitalist Program, Manchester, NH 03103 | 2006-08-31 |
| 1649383548 | Ardis Lee Olson | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-16 |
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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.