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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 9778 | NH | Allopathic & Osteopathic Physicians |
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 |
Street Address |
275 MAMMOTH RD SUITE #1 |
City | MANCHESTER |
State | NH |
Zip Code | 03109-4133 |
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 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
City | MANCHESTER |
Zip Code | 03109 |
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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.