WENTWORTH DOUGLASS HOSPITAL (NPI# 1043669195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043669195 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Practice Address |
789 Central Ave Dover NH 03820 |
| Mailing Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6037409713 |
| Mailing Telephone | 6037409713 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | TRISHA GAGNON (SR. REVENUE MANAGER) |
| Authorized Official Telephone | 6037425252 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NH | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 1477038461 | Wentworth Douglass Hospital | Clinic/Center | 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 | 2018-09-26 |
| 1366929440 | Wentworth Douglass Hospital | Clinic/Center | 701b Central Ave, Dover, NH 03820-3403 | 2018-07-23 |
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| Street Address |
789 CENTRAL AVE |
| City | DOVER |
| State | NH |
| Zip Code | 03820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605200 | Erwin Kurt Tan Cullamar | Internal Medicine | 789 Central Ave, Level 2, Dover, NH 03820-2526 | 2005-08-09 |
| 1770190571 | Holly Pf Goodell | Speech-Language Pathologist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-25 |
| 1164037115 | Lindsay Carrier | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-15 |
| 1184239493 | Danielle Marie Amero | Occupational Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-14 |
| 1093320566 | Karissa Mondoux | Physical Therapist | 789 Central Ave, Dover, NH 03820-2526 | 2020-09-11 |
| 1417571944 | Sarah M Bolduc | Nurse Anesthetist, Certified Registered | 789 Central Ave, Dover, NH 03820-2526 | 2020-06-01 |
| 1104447986 | Sonya Anne Kara | Pharmacist | 789 Central Ave, Dover, NH 03820-2526 | 2020-05-02 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1386119469 | Elizabeth J Eaton | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-04 |
| 1073008736 | Rachel L Velardi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-06-26 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895198 | Evexia Diabetes Supply, LLC | Durable Medical Equipment & Medical Supplies | 8 The Grn # 8151, Dover, DE 19901-3618 | 2019-11-16 |
| 1205488186 | Delaware Dental Sleep Medicine, LLC | Durable Medical Equipment & Medical Supplies | 125-2 Greentree Drive, Dover, DE 19904-7656 | 2019-07-11 |
| 1164083366 | New Design Studio LLC | Durable Medical Equipment & Medical Supplies | 2 Medinah Ct, Dover, DE 19904-7106 | 2019-06-27 |
| 1326504697 | Ultra Medical Supplies | Durable Medical Equipment & Medical Supplies | 8 The Grn Ste 8374, Dover, DE 19901-3618 | 2019-02-12 |
| 1821512351 | Better Med Services LLC | Durable Medical Equipment & Medical Supplies | 9 E Loockerman St Ste 202, Dover, DE 19901-7347 | 2017-07-26 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1760885602 | Wal-mart Stores, East, Lp | Durable Medical Equipment & Medical Supplies | 934 Highway 79, Dover, TN 37058-5962 | 2014-10-07 |
| 1447692850 | True Care Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 477 Highway 79, Dover, TN 37058-6941 | 2013-07-26 |
| 1215232152 | Rodney Village Pharmacy,llc | Durable Medical Equipment & Medical Supplies | 1664 S. Governors Ave, Dover, DE 19904 | 2011-01-25 |
| 1063726537 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 988 Forrest Street, Dover, DE 19904 | 2010-07-27 |
| Find all providers in DOVER | ||||
Please comment or provide details below to improve the information on WENTWORTH DOUGLASS HOSPITAL.
| 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.