KIM H DEDEUS (NPI# 1063408144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063408144 |
| Entity Type | Individual |
| Full Name | KIM H DEDEUS |
| Credential | PA-C |
| Practice Address |
333 Borthwick Ave Medical Office Building Suite 301 Portsmouth NH 03801-7128 |
| Practice Telephone | 6034315858 |
| Practice Fax Number | 6034315818 |
| Mailing Telephone | 6034315858 |
| Mailing Fax Number | 6034315818 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0504P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 BORTHWICK AVE MEDICAL OFFICE BUILDING SUITE 301 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1689280109 | Portsmouth Surgical Specialists LLC | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-09-21 |
| 1841808573 | Sarah Beasley | Nurse Practitioner | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-07-20 |
| 1144844044 | Wesley James Phillips | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801 | 2020-06-05 |
| 1093338055 | Neelam Grewal | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-26 |
| 1124641469 | Parisa Yazdani Kashef | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-21 |
| 1972123693 | Thomas Hamilton Warren | Pharmacist | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-22 |
| 1073132460 | Gregory Carbonella | Internal Medicine | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-15 |
| 1942829767 | William Ciurylo | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-11 |
| 1801415021 | Waleed Ismail | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-09 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1578053914 | Scott David Mithoefer | Physician Assistant | 155 Borthwick Ave Ste 101, Portsmouth, NH 03801-7156 | 2018-05-10 |
| 1295727626 | Nancy J Carpenter | Physician Assistant | 1711 27th Street, Braunlin Bldg Suite #306, Portsmouth, OH 45662 | 2005-08-22 |
| 1437409372 | David Ryan Novicki | Physician Assistant | 330 Borthwick Ave, Suite 300, Portsmouth, NH 03801-4174 | 2012-09-19 |
| 1932418589 | Evan D Yates | Physician Assistant | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2010-09-30 |
| 1225075328 | Mark C Sullivan | Physician Assistant | 333 Borthwick Ave, Suite 402, Portsmouth, NH 03801-7128 | 2006-05-31 |
| 1962454165 | Kerri Browne | Physician Assistant | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-05-16 |
| 1548229826 | Jennifer Sue Birnstein | Physician Assistant | 27 Effingham Street, Portsmouth, VA 23708 | 2006-03-23 |
| 1558331157 | Charles Frost | Physician Assistant | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2006-01-25 |
| 1417959693 | Jon Christopher Brillhart | Physician Assistant | 2929 London Blvd, Portsmouth, VA 23707-3405 | 2005-06-01 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on KIM H DEDEUS.
| 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.