MR. BERNARD J BENEDETTO (NPI# 1023014487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023014487 |
Entity Type | Individual |
Full Name | MR. BERNARD J BENEDETTO |
Credential | MD |
Practice Address |
330 Borthwick Ave Ste 308 Portsmouth NH 03801-7112 |
Mailing Address |
104 Endicott St Suite 200 Danvers MA 01923-3623 |
Practice Telephone | 6034315242 |
Practice Fax Number | 6034315091 |
Mailing Telephone | 9788826868 |
Mailing Fax Number | 9788826828 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 19048 | NH | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 236697 | MA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MD11776 | RI | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
11776 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2102811 | 05 |
Street Address |
330 BORTHWICK AVE STE 308 |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-7112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427499698 | Pamela J Larocque | Nurse Practitioner | 330 Borthwick Ave Ste 308, Portsmouth, NH 03801-7112 | 2013-07-16 |
1396792156 | Malcolm Hauthaway | Physician Assistant | 330 Borthwick Ave Ste 308, Portsmouth, NH 03801-7112 | 2006-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
Find all providers in zip 03801 |
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 |
---|---|---|---|---|
1811308257 | Samuel L Douglas | Surgery | 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 | 2014-05-19 |
1356778419 | Kevin Thomas Petersen | Surgery | 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708-2197 | 2013-10-03 |
1457618183 | Lauren Thompson | Surgery | 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 | 2012-04-19 |
1457642340 | Arthur T Johnson Iv | Surgery | 4633 Mallard Cres, Portsmouth, VA 23703-2240 | 2011-04-26 |
1447319348 | Henry Emerson Butler IIi | Surgery | 533 Elizabeth Pl, Portsmouth, VA 23704-2408 | 2006-12-06 |
1215940481 | Reymond Guzman Pascual | Surgery | 704 London Blvd., Portsmouth, VA 23704 | 2006-08-15 |
1033142021 | Joseph J Lach | Surgery | 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-0000 | 2006-07-10 |
1942299565 | Jeffery E Parker | Surgery | 1711 27th St Ste 402, Portsmouth, OH 45662-2669 | 2005-10-17 |
1306838719 | Thomas L Khoury | Surgery | 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 | 2005-08-22 |
1336147719 | Jeffrey Lynn Riblet | Surgery | 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 | 2005-07-11 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 03801 |
Please comment or provide details below to improve the information on MR. BERNARD J BENEDETTO.
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.