JEREMY A DZEN


Address: 29 Northwest Blvd, Nashua, NH 03063
Phone: 6035775780

JEREMY A DZEN (NPI# 1013083997) 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) 1013083997
Entity Type Individual
Full Name JEREMY A DZEN
Credential DO
Practice Address 29 Northwest Blvd
Nashua
NH 03063
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 6035775780
Practice Fax Number 6035775780
Mailing Telephone 2394680150
Mailing Fax Number 2393434056
Enumeration Date 2006-11-24
Last Update Date 2020-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 9243 NH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH 40007221 05
FL 103653900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
23450 Via Coconut Pt, Estero, FL 341351877 2394680150 2393434056

Office Location

Street Address 29 NORTHWEST BLVD
City NASHUA
State NH
Zip Code 03063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952388944 Susan Elizabeth Gust Nurse Practitioner 29 Northwest Blvd, Nashua, NH 03063-4068 2005-12-29
1366053779 Rachel Haigh-modlinsky Physical Therapist 29 Northwest Blvd, Nashua, NH 03063-4068 2020-08-11
1679111728 Hillary Raimondi Physical Therapist 29 Northwest Blvd, Nashua, NH 03063-4068 2019-12-19
1770144917 Tiffany A Gaudet Nurse Practitioner 29 Northwest Blvd, Nashua, NH 03063-4068 2019-06-27
1619534245 Arianne Koski-klein Physical Therapist 29 Northwest Blvd, Nashua, NH 03063-4068 2019-05-20
1568938827 Rachel L Herbert Occupational Therapist 29 Northwest Blvd, Nashua, NH 03063-4068 2018-10-15
1043791833 Vanessa C Ulrich Social Worker 29 Northwest Blvd, Nashua, NH 03063 2018-08-28
1306325568 Sierra Renee Jewett Nurse Practitioner 29 Northwest Blvd, Nashua, NH 03063-4068 2018-08-08
1295228401 Kathryn Ann Winslow Registered Nurse 29 Northwest Blvd, Nashua, NH 03063-4068 2018-06-12
1801312475 Brian Joseph O'hearn Jr. Nurse Practitioner 29 Northwest Blvd, Nashua, NH 03063 2017-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770073298 Eye Practice of Nashua Pllc Optometrist 451 Amherst St Ste 102, Nashua, NH 03063 2018-05-10
1801254552 Lindsay Arel Occupational Therapist 547 Amherst St Ste 204, Nashua, NH 03063 2016-02-09
1447519103 Dental Health Solutions of Nashua Dentist Zero Profile Circle, Nashua, NH 03063 2012-05-15
1801196332 Greater Nashua Council On Alcoholism, Inc. Counselor 615 Amherst Street, Nashua, NH 03063 2010-11-01
1275846123 Nancy M Chow Pharmacist 145 Amhurst St, Nashua, NH 03063 2010-07-21
1629258025 Sara-britt Guinta Physician Assistant 565 Amherst St, Nashua, NH 03063 2007-11-14
1104954403 Kelly A Fitzgibbons Dentist 2 Cellu Drive, Nashua, NH 03063 2007-03-01
1609922731 Kara Myers Occupational Therapist 547 Amherst St., Suite 204, Nashua, NH 03063 2007-01-25
1720147176 Todd Ratcliffe Physical Therapist 522 Amherst St Ste 22, Nashua, NH 03063 2006-12-08
1043385073 Deepak V Shinde Dentist 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 2006-11-22
Find all providers in zip 03063

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629413398 Daniel Tseytlin Internal Medicine 168 Kinsley St Ste 10, Nashua, NH 03060-3634 2013-05-07
1093883696 James Constantine Brocoum Internal Medicine 74 Allds Street, Nashua, NH 03060-4757 2006-12-01
1942380324 Matthew E Brier Internal Medicine Foundation Medical Partners, 10 Prospect Street #232, Nashua, NH 03060 2006-10-17
1306957287 Rieta Teeking Silang Internal Medicine 19 Tyler Street, Suite 203, Nashua, NH 03060 2006-08-31
1598876476 Anita Uy Yap Internal Medicine 19 Tyler St Suite 203, Nashua, NH 03060 2006-08-31
1407967383 Medical & Renal Care Pa Internal Medicine 19 Tyler Street Suite 203, Nashua, NH 03060 2006-08-31
1073561247 Anita Kumar Internal Medicine 280 Main St Fl 2, Nashua, NH 03060-2994 2006-05-04
1366416109 Alexis-ann Bundschuh Internal Medicine 280 Main St Ste 210a, Nashua, NH 03060-2920 2006-02-16
1164408498 Boris Golosarsky Internal Medicine 491 Amherst St Ste 105, Nashua, NH 03063-1259 2005-12-19
1427034164 Lisa Scheib Internal Medicine 5 Dow Jones Ave, Nashua, NH 03062-3089 2005-12-15
Find all providers in NASHUA

Competitor

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City NASHUA
Zip Code 03063

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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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