DR. MARY L FUDGE (NPI# 1962583047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962583047 |
| Entity Type | Individual |
| Full Name | DR. MARY L FUDGE |
| Other Name | DR. MARY F FANNON |
| Credential | MD |
| Practice Address |
3 Alumni Dr Ste 201 Exeter NH 03833-2122 |
| Mailing Address |
7 Holland Way Fl 1 Exeter NH 03833-2997 |
| Practice Telephone | 6037757405 |
| Practice Fax Number | 6037757424 |
| Mailing Telephone | 6037757405 |
| Mailing Fax Number | 6037757424 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 14621 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3074322 | 05 |
| Street Address |
3 ALUMNI DR STE 201 |
| City | EXETER |
| State | NH |
| Zip Code | 03833-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174451 | Thomas M Sherman | Internal Medicine | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2005-06-17 |
| 1881901718 | Katherin Adriana Sonneborn | Physician Assistant | 3 Alumni Dr Ste 201, Exeter, NH 03833 | 2010-09-14 |
| 1750694360 | Rebecca M. Kwait | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2010-07-24 |
| 1508098237 | Robert Henley | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2009-08-13 |
| 1629220595 | Rebecca Ann Gamester | Physician Assistant | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2008-10-22 |
| 1427226448 | Chad M. Cabral | Internal Medicine | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2008-02-12 |
| 1093836157 | Hillary S Tompkins | Internal Medicine | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2007-04-03 |
| 1396799144 | Jay W. Swett | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2006-05-19 |
| 1326099847 | Christopher A. Roseberry | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2006-05-12 |
| 1205804952 | Francis P Macmillan Jr. | Internal Medicine | 3 Alumni Dr Ste 201, Exeter, NH 03833 | 2006-03-09 |
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| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750694360 | Rebecca M. Kwait | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2010-07-24 |
| 1508098237 | Robert Henley | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2009-08-13 |
| 1679583389 | Anthony David Chismark | Surgery | 3 Alumni Dr, Ste 201, Exeter, NH 03833-2119 | 2006-08-08 |
| 1568485779 | Eric A Leefmans | Surgery | 3 Alumni Dr, Ste 201, Exeter, NH 03833-2119 | 2006-07-26 |
| 1396799144 | Jay W. Swett | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2006-05-19 |
| 1326099847 | Christopher A. Roseberry | Surgery | 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 | 2006-05-12 |
| 1093764474 | Beacon Surgical Associates, Pa | Surgery | 20 Hampton Rd, Exeter, NH 03833-4823 | 2006-05-10 |
| 1710948526 | Roderick Start Mckee | Surgery | 3 Alumni Dr, Ste 201, Exeter, NH 03833-2119 | 2006-03-31 |
| 1841251774 | Diane P Palladino | Surgery | 3 Alumni Dr, Suite 201, Exeter, NH 03833-2119 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223554 | Betternow | Surgery | 109 Ponemah Rd Ste 5, Amherst, NH 03031-2834 | 2019-09-04 |
| 1376087403 | Owen Dow | Surgery | 6 Wedgewood Dr, Granthan, NH 03753 | 2016-12-08 |
| 1427480441 | Paul J Harper Md LLC | Surgery | 1 Commons Dr # A, Unit 5, Londonderry, NH 03053-3441 | 2013-08-01 |
| 1659715399 | Arnold Fabricant | Surgery | 237e Remsen, Hanover, NH 03755-3832 | 2013-04-24 |
| 1457618183 | Lauren Thompson | Surgery | 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 | 2012-04-19 |
| 1841576485 | Paul J Harper Md Pa | Surgery | 1a Commons Dr., Unit 5, Londonderry, NH 03053-3448 | 2011-10-27 |
| 1285926071 | Nicholas Chester Reynolds Jr. | Surgery | 153 Seamans Road, New London, NH 03257 | 2011-05-11 |
| 1265680375 | Matthew T Johnson | Surgery | 17 Riverside St Ste 201, Lahey Urology At Nashua, Nashua, NH 03062-1383 | 2008-09-03 |
| 1003062258 | Keith Menes | Surgery | 3 Terrascape Pkwy, Somersworth, NH 03878-1115 | 2008-08-07 |
| 1407073794 | Patricia A Auty | Surgery | 750 Central Avenue Suite N, Seacoast General Surgery, Dover, NH 03820-3434 | 2007-04-19 |
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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.