Barbara Wientzen Dagenais (NPI# 1104045616, PAC ID# 6800832098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1104045616 |
| PAC ID by PECOS | 6800832098 |
| Professional Enrollment ID | I20050628000779 |
| Full Name | Barbara Wientzen Dagenais |
| Organization Legal Name | DERRY MEDICAL CENTER, PA |
| Address |
6 Tsienneto Rd Suite 100 Derry NH 03038-1584 |
| Phone Number | 6035371300 |
| Gender | F |
| Credential | MNT |
| Graduation Year | 1989 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 5294711768 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 6035371300 | DERRY MEDICAL CENTER, PA |
| 6 Buttrick Rd, Suite 200, Londonderry, NH 03053-3417 | 6035371300 | DERRY MEDICAL CENTER, PA |
| Organization Legal Name | DERRY MEDICAL CENTER, PA |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore T Brooks | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Elena Luchanok | Psychiatry | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Cristi M Egenolf | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Dennis G Rork | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| James F Fitzgerald | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Gregory M Lynch | Emergency Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Paula M Hollis | Clinical Social Worker | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Justin Plaum | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Manuel Evangelos Bulauitan | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Douglas R Dreffer | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Street Address |
6 TSIENNETO RD SUITE 100 |
| City | DERRY |
| State | NH |
| Zip | 03038-1584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore T Brooks | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Elena Luchanok | Psychiatry | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Christopher Ernest Gentchos | Orthopedic Surgery | Concord Orthopaedics Professional Association | 6 Tsienneto Rd, Suite 200, Derry, NH 03038-1584 |
| Cristi M Egenolf | Family Medicine | Derry Medical Center, Pa | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 |
| Matthew Louise Levine | Diagnostic Radiology | Associated Radiologist,pa | 6 Tsienneto Rd, Derry, NH 03038-1584 |
| Martin S Walko | General Surgery | Parkland Physician Services Inc | 6 Tsienneto Rd, Suite 203, Derry, NH 03038-1584 |
| Steven D Taylor | Gastroenterology | Granite State Gastrointestinal Consultants,pllc | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 |
| Philip Grant | Diagnostic Radiology | Associated Radiologist,pa | 6 Tsienneto Rd, Derry, NH 03038-1584 |
| Jeffrey W Wiley | Orthopedic Surgery | Concord Orthopaedics Professional Association | 6 Tsienneto Rd, Suite 200, Derry, NH 03038-1584 |
| William R Mullen | Physician Assistant | Concord Orthopaedics Professional Association | 6 Tsienneto Rd, Suite 200, Derry, NH 03038-1584 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Reardon | Nurse Practitioner | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Deborah Ann Upton | Nurse Practitioner | Dartmouth-hitchcock Clinic | 14 Tsienneto Rd, Derry, NH 03038-1505 |
| Carol A Drouin | Nurse Practitioner | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Walter M Wingate Jr. | Psychiatry | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Elise Boudreau | Clinical Social Worker | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Susan Stott | Clinical Social Worker | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Susan J Barnes | Nurse Practitioner | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Marcia J Pabo | Psychiatry | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Christina Baldiga | Nurse Practitioner | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Julie Lago | Clinical Social Worker | The Mental Health Ctr for Southern New Hampshire | 10 Tsienneto Rd, Derry, NH 03038-1505 |
| Find all physicians in zip 03038 | |||
| City | DERRY |
| Zip Code | 03038 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | DERRY + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Barbara Wientzen Dagenais.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.