CAROLYN KERRIGAN (NPI# 1073532636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073532636 |
| Entity Type | Individual |
| Full Name | CAROLYN KERRIGAN |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Lebanon NH 03756-1000 |
| Practice Telephone | 6036505881 |
| Practice Fax Number | 6036500911 |
| Mailing Telephone | 6036505881 |
| Mailing Fax Number | 6036500911 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 9810 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30009724 | 05 | |
| VT | 0RE4175 | 05 |
| Street Address |
1 MEDICAL CENTER DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473917 | Lynda Lee Lapan | Obstetrics & Gynecology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-10-08 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1275149858 | Makenzie Welch | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-19 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1275145104 | Nicole Faye Hoshiko | Dietitian, Registered | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1609486703 | Melanie Lynn Del Frari | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-04 |
| 1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
| 1932717170 | Sydney Allen | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-14 |
| 1033737143 | Matthew David Thomson | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629042015 | Jame Francis Arnold | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042 | 2006-02-14 |
| 1073166963 | Wellspan Medical Group | Plastic Surgery | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2019-07-19 |
| 1285899666 | Earl Dwayne Lett, PC | Plastic Surgery | 1417 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2008-07-24 |
| 1578766986 | Lebanon Plastic Surgery Associates P C | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042-6204 | 2007-06-06 |
| 1598848699 | John Francis Nigriny | Plastic Surgery | 1 Medical Center Dr, Dhmc - Department of Plastic Surgery, Lebanon, NH 03756-1000 | 2006-10-23 |
| 1912015215 | Joseph Mark Rosen | Plastic Surgery | 1 Medical Center Drive, Lebanon, NH 03756 | 2006-08-27 |
| 1497775456 | Mitchell Andrew Stotland | Plastic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-20 |
| 1639198138 | Dale Collins Vidal | Plastic Surgery | 127 Mascoma St, Lebanon, NH 03766-2661 | 2006-07-18 |
| 1811971807 | Joseph H Shin | Plastic Surgery | 1 Medical Center Dr, Plastic & Reconstructive Surgery, Lebanon, NH 03756-1000 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336345362 | Emese Kalnoki-kis | Plastic Surgery | 246 Pleasant St Ste 210, Concord, NH 03301-2548 | 2007-06-26 |
| 1326241522 | Heidi Michelle Harrington | Plastic Surgery | 10 Members Way Ste 303, Dover, NH 03820-5933 | 2007-06-06 |
| 1891860581 | Robert S Feins Md Prof Assn | Plastic Surgery | 144 Tarrytown Road, Doctors Park, Manchester, NH 03103-2713 | 2006-11-21 |
| 1629069216 | Daniel Anthony Sterling | Plastic Surgery | 2 Washington Place, Bedford, NH 03110 | 2005-11-02 |
| 1689667768 | Robert S Feins | Plastic Surgery | 144 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-08-24 |
| 1518959832 | Bruce M. Topol | Plastic Surgery | 36 Bay St, Manchester, NH 03104-3003 | 2005-08-22 |
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1356698419 | Bruce M. Topol, Md,, Pa | Plastic Surgery | 36 Bay St, Manchester, NH 03104-3003 | 2012-08-08 |
| 1932498243 | Mark B Constantian Md Pa | Plastic Surgery | 19 Tyler St, Suite 302, Nashua, NH 03060-2951 | 2011-04-07 |
| 1659699908 | Anthony Joseph Wilson | Plastic Surgery | 137 Portsmouth Ave, Stratham, NH 03885-2421 | 2010-05-12 |
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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.