HOLLY P. MINTZ


Address: 275 Mammoth Rd, Suite #1, Manchester, NH 03109-4133
Phone: 6036638350

HOLLY P. MINTZ (NPI# 1093706418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093706418
Entity Type Individual
Full Name HOLLY P. MINTZ
Credential MD
Practice Address 275 Mammoth Rd
Suite #1
Manchester
NH 03109-4133
Practice Telephone 6036638350
Practice Fax Number 6036638399
Mailing Telephone 6036638350
Mailing Fax Number 6036638399
Enumeration Date 2005-11-03
Last Update Date 2015-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 9778 NH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH CIGNA PIN 259711 01
NH UHC PIN 1240728 01
NH OXFORD PIN P041216 01
NH ANTHEM ACES PIN 0107787YPNH01 01
NH TUFTS PIN 406453 01
NH HPHC PIN HLO005 01
NH ANTHEM REFERRING RAN 20123Y 01
NH 30009797 05
NH AETNA PIN 585082 01

Office Location

Street Address 275 MAMMOTH RD
SUITE #1
City MANCHESTER
State NH
Zip Code 03109-4133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114913142 Steven B Schwartz Internal Medicine 275 Mammoth Rd, Suite 4, Manchester, NH 03109-4133 2005-09-26
1891054490 Suzanne Marie Vance Nurse Practitioner 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 2012-05-16
1528389780 Elliot Professional Services Pediatrics 275 Mammoth Rd, Suite 1c, Manchester, NH 03109-4133 2010-06-22
1871797985 Kathleen Wiley Nurse Practitioner 275 Mammoth Rd, Suite 3, Manchester, NH 03109-4133 2007-06-13
1124230370 Mark Ferlan Internal Medicine 275 Mammoth Rd, Suite 4, Manchester, NH 03109-4133 2007-05-03
1508080391 Elliot Hospital General Acute Care Hospital 275 Mammoth Rd, Suite 3, Manchester, NH 03109-4133 2007-04-12
1164457560 Harohalli R Shashidhar Pediatrics 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 2006-07-12
1821050337 Ann Jeffers-brown Genetic Counselor, MS 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 2006-04-03
1114908894 Christina L. Ferreri Nurse Practitioner 275 Mammoth Rd, Suite #1, Manchester, NH 03109-4133 2005-11-09
1518958941 Mary E. Pulaski Pediatrics 275 Mammoth Rd, Suite #1, Manchester, NH 03109-4133 2005-11-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275960452 Valerie Amador Physical Therapy Assistant 195 Sibley Terrace, Manchester, NH 03109 2013-10-02
1104894708 Mahendra Singh Panesar Pediatrics Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-03-09
1225004005 Edward P. Dalton Surgery Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-02-23
1487644829 Donald E. Salvatore Pediatrics 275 Mammoth Road, Suite 2, Manchester, NH 03109 2005-10-26
1831191659 Elliot Physicians Network Internal Medicine 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 2005-08-11
1457862195 Julianne Jefferson Nurse Practitioner 271 Mammoth Rd, Manchester, NH 03109 2017-10-20
1154708964 Jared Dunahay Pediatrics 275 Mammoth Rd Ste 2, Manchester, NH 03109 2015-04-30
1326474750 Jason Michael Albrecht Internal Medicine 275 Mammoth Rd Ste 4, Manchester, NH 03109 2013-09-17
1316379266 Johnson Orthodontics, Pllc Dentist 113 Mammoth Rd, Suite 1, Manchester, NH 03109 2013-08-02
1093941924 Muhammad Muddasir Qureshi Psychiatry & Neurology 275 Mammoth Rd Ste 1, Manchester, NH 03109 2009-06-05
Find all providers in zip 03109

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154740629 Elizabeth Bergamini Pediatrics 1511 Ploma Dr, Manchester, MO 63021-7048 2014-04-14
1386652576 Frank Joseph Bush Pediatrics 27 Hilliard St, Manchester, CT 06042-3001 2006-08-03
1336177633 Glenn Koehler Pediatrics 192 Main St, Manchester, CT 06042-3581 2006-06-28
1104894708 Mahendra Singh Panesar Pediatrics Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-03-09
1861483489 Elliot Physicians Network Pediatrics 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 2005-11-02
1487644829 Donald E. Salvatore Pediatrics 275 Mammoth Road, Suite 2, Manchester, NH 03109 2005-10-26
1912997396 Elliot Physicians Network Pediatrics 275 Mammoth Rd Ste 2, Doctors Park Pediatrics, Manchester, NH 03109-4133 2005-10-26
1629061965 Swathanthra Kumar Melekote Pediatrics 130 Hartford Rd, Manchester, CT 06040-5921 2005-08-23
1639684293 Brooke Leary Pediatrics 1 Elliot Way, Manchester, NH 03103-3502 2017-12-05
1881058923 Katherine E Wentworth Pediatrics 1 Elliot Way, Manchester, NH 03103-3502 2016-04-05
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 03109

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Dataset Information

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.

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