CHAD WOTKOWICZ (NPI# 1003884578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003884578 |
| Entity Type | Individual |
| Full Name | CHAD WOTKOWICZ |
| Credential | M.D. |
| Practice Address |
17 Old Rollinsford Road Doctors Park Bldg A Dover NH 03820-2892 |
| Mailing Address |
17 Old Rollinsford Road Suite 3 Dover NH 03820-2892 |
| Practice Telephone | 6037425011 |
| Practice Fax Number | 6037423530 |
| Mailing Telephone | 6037425011 |
| Mailing Fax Number | 6037423530 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 14482 | NH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 224790 | MA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 14482 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30209883 | 05 | |
| MA | 2111021 | 05 |
| Street Address |
17 OLD ROLLINSFORD ROAD DOCTORS PARK BLDG A |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811219983 | Rebecca Jean Kerr | Genetic Counselor, MS | 17 Old Rollinsford Road, Suite 6, Dover, NH 03820-2833 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821269754 | Egbert D Baumgart | Urology | 17 Old Rollinsford Road, Suite 3, Dover, NH 03820-2892 | 2008-03-19 |
| 1659375327 | Sandy Chin | Urology | 10 Members Way, Suite 402, Dover, NH 03820 | 2005-06-09 |
| 1558364190 | Donald D. Suh | Urology | 200 Banning St, Suite 250, Dover, DE 19904 | 2005-05-27 |
| 1407274442 | Eric Raffin | Urology | 10 Members Way, Dover, NH 03820-5933 | 2014-04-06 |
| 1457670432 | Rajesh Kurpad | Urology | 200 Banning St, Suite 250, Dover, DE 19904-3485 | 2010-05-31 |
| 1962649442 | Shilpa Lamba | Urology | 10 Members Way, Suite 402, Dover, NH 03820-5933 | 2009-01-20 |
| 1639314628 | Gregory Spana | Urology | 200 Banning St, Suite 150, Dover, DE 19904-3485 | 2008-12-05 |
| 1154577690 | Manchester Urology Associates, Pa | Urology | 789 Central Ave, Dover, NH 03820-2526 | 2008-08-15 |
| 1104904309 | Gateway Urology Pa | Urology | 17 Old Rollinsford Rd, Dover, NH 03820-2833 | 2006-11-02 |
| 1588675490 | Michael Ralph Gigax | Urology | 300 Medical Park Dr, Ste 103, Dover, OH 44622 | 2006-08-10 |
| Find all providers in DOVER | ||||
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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.