DR. CHARLES GEORGE LEUTZINGER (NPI# 1063584795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063584795 |
Entity Type | Individual |
Full Name | DR. CHARLES GEORGE LEUTZINGER |
Credential | M.D. |
Practice Address |
1 Elliot Way Manchester NH 03103-3502 |
Mailing Address |
291 Moody St Ludlow MA 01056-1246 |
Practice Telephone | 6036632361 |
Practice Fax Number | 6036684303 |
Mailing Telephone | 8008666663 |
Mailing Fax Number | 8884131065 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
6390 | NH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 82303788 | 05 |
Street Address |
1 ELLIOT WAY |
City | MANCHESTER |
State | NH |
Zip Code | 03103-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922006253 | Benjamin J Grudinskas Jr. | Anesthesiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2005-07-11 |
1437766904 | Samantha Oslin | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-09-28 |
1104439603 | Kerry Mcdonald | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-08-25 |
1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
1346861895 | Rebecca Lauren Hicks | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
1386270320 | Brooke E Kanehl | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-03-22 |
1598306383 | Rachel Marie Baroody | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-10-02 |
1407417355 | Oluwatoyin Oshin | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-06-21 |
1316504103 | Diana Renee Tanner | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-05-28 |
1376004622 | Courtney A O'connor | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2019-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790990356 | Stephen Harris | Radiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2007-05-14 |
1427180363 | Brian Robert Knab | Radiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2007-03-09 |
1467516773 | Northeast Regional Radiation Oncology Network Inc | Radiology | 100 Haynes St, Manchester, CT 06040-4113 | 2006-12-21 |
1336163047 | James David Becht | Radiology | 1 Elliot Way, Radiation Oncology Department, Manchester, NH 03103-3502 | 2006-07-26 |
1639103914 | Donald R Weiss | Radiology | 1 Elliot Way, Elliot Hospital - Radiation Oncology, Manchester, NH 03103-3502 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073959920 | Jeffrey M Lemons | Radiology | 789 Central Ave, Dover, NH 03820 | 2013-05-20 |
1588912307 | Jeffrey Vincent Brower | Radiology | 789 Central Ave, Dover, NH 03820-2526 | 2012-08-28 |
1346475407 | Etin-osa Osa | Radiology | 11 N Southwood Dr, Nashua, NH 03063-1803 | 2009-05-19 |
1881857308 | Nirav Kapadia | Radiology | 1 Medical Center Dr, Section of Radiation Oncology, Lebanon, NH 03756-1000 | 2008-07-03 |
1700058021 | Thomas Charles Sroka | Radiology | 1 Medical Center Dr, Dhmc - Dept of Radiation Oncology, Lebanon, NH 03756-1000 | 2008-03-26 |
1144417502 | Lesley Ann Jarvis | Radiology | 1 Medical Center Dr, Dhmc Dept of Radiation Oncology, Lebanon, NH 03756-1000 | 2007-10-01 |
1669666541 | Mass General Physicians Organization, Inc | Radiology | 5 Alumni Dr, Exeter, NH 03833-2128 | 2007-09-04 |
1750591400 | Gregory A. Russo | Radiology | 1 Medical Center Dr, Dhmc - Radiology Oncology, Lebanon, NH 03756-1000 | 2007-05-23 |
1326148487 | Arul Mahadevan | Radiology | 789 Central Ave, Seacost Cancer Center, Dover, NH 03820-2526 | 2006-09-25 |
1942308655 | Himanshu Singh | Radiology | 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820-2526 | 2006-09-20 |
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City | MANCHESTER |
Zip Code | 03103 |
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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.