DR. KELLY MACMILLAN (NPI# 1114903630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114903630 |
| Entity Type | Individual |
| Full Name | DR. KELLY MACMILLAN |
| Credential | M.D. |
| Practice Address |
168 Kinsley St Ste 20 Nashua NH 03060-3634 |
| Mailing Address |
C/o St Mary's Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 6038833365 |
| Practice Fax Number | 6038835758 |
| Mailing Telephone | 2077778695 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 11599 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3076899 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165835 | Kelly Macmillan | Registered Nurse | 4875 Emerson Rd, Canandaigua, NY 14424-8022 | 2020-08-18 |
| Street Address |
168 KINSLEY ST STE 20 |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306829221 | Alison C. Madden | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2005-11-23 |
| 1568779056 | Sarah G Bay | Advanced Practice Midwife | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2010-09-07 |
| 1790948693 | Lan P Tran | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2008-07-10 |
| 1356541791 | Jennifer A Johnson | Advanced Practice Midwife | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2007-07-24 |
| 1568595429 | Darlaine J Laviolette | Advanced Practice Midwife | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2007-03-13 |
| 1811090616 | Rebecca Keller | Midwife | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2006-09-07 |
| 1902882962 | Leonard Wasserman | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2005-12-21 |
| 1538145040 | Mark Conway | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326136680 | Melissa Martinez-adorno | Obstetrics & Gynecology | 10 Prospect St Ste 303, Nashua, NH 03060-3922 | 2006-10-11 |
| 1306829221 | Alison C. Madden | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2005-11-23 |
| 1518951250 | Alyse K Kanter | Obstetrics & Gynecology | 10 Prospect St, Suite 402, Nashua, NH 03060-3922 | 2005-09-08 |
| 1306844873 | Nancy J Pariser | Obstetrics & Gynecology | 8 Prospect St, Nashua, NH 03060-3925 | 2005-07-08 |
| 1699154955 | Jessica L. Weyer | Obstetrics & Gynecology | 10 Prospect St Ste 303, Nashua, NH 03060-3922 | 2015-05-20 |
| 1407172026 | Elon Kotlar | Obstetrics & Gynecology | 8 Prospect St, Nashua, NH 03060-3925 | 2010-04-08 |
| 1821252149 | Sharon A Hart Silveira | Obstetrics & Gynecology | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2008-07-16 |
| 1790948693 | Lan P Tran | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2008-07-10 |
| 1215128699 | Lydia Garcia | Obstetrics & Gynecology | 280 Main St, Suite 131, Nashua, NH 03060-2919 | 2007-08-09 |
| 1497958482 | Ann Lo | Obstetrics & Gynecology | 10 Prospect St, Suite 402, Nashua, NH 03060-3922 | 2007-06-07 |
| Find all providers in NASHUA | ||||
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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.