ERIN M SHANAVER (NPI# 1144249517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144249517 |
| Entity Type | Individual |
| Full Name | ERIN M SHANAVER |
| Credential | PA |
| Practice Address |
1 Parkland Dr Derry NH 03038-2746 |
| Practice Telephone | 6034212143 |
| Practice Fax Number | 6034212344 |
| Mailing Telephone | 6034212143 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0532P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30333268 | 05 |
| Street Address |
1 PARKLAND DR |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319687 | Nicholas Tzavalas | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-01-05 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1811500424 | Hca Health Services of New Hampshire, Inc. | Psychiatric Unit | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-25 |
| 1225648702 | Kendra Snyder Huckins | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-09 |
| 1720612054 | Kyle Cahill | Occupational Therapist | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-25 |
| 1336771880 | Kristen Poole Flagg | Dietitian, Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-12 |
| 1861950651 | Anesthesia Associates of New England PC | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2019-03-11 |
| 1275041642 | Justin Keaton Smith | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2018-01-18 |
| 1508384645 | Ann Gitonga Kumbani | Nurse Anesthetist, Certified Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-09-08 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932422938 | Valerie A Romoser | Physician Assistant | 28 Gervaise Dr, Derry, NH 03038-4609 | 2010-03-04 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1518226661 | Ryan Michael Sychterz | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2012-05-10 |
| 1184996076 | Janelle L Williams | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2012-02-07 |
| 1245507953 | Jessica E Judkins | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038 | 2011-11-23 |
| 1043236011 | David M Bryson | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-07-14 |
| 1932137973 | Shara A Lapointe | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848372 | Stacy Foote | Physician Assistant | 7 Independence Dr, Pelham, NH 03076-2331 | 2018-10-31 |
| 1104370154 | Eric Allen Senneville | Physician Assistant | 20 Chambers Dr Ste 2200, Hooksett, NH 03106-1981 | 2016-08-08 |
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1831511096 | Archita Patel | Physician Assistant | 8 Oak Hill Ln, Exeter, NH 03833-4569 | 2014-01-07 |
| 1558790709 | Emily R Auger | Physician Assistant | 25 S River Road, Dartmouth Hitchcock - Internal Medicine, Bedford, NH 03110 | 2013-11-08 |
| 1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
| 1215177852 | Amy M Lovett | Physician Assistant | 220 Cottage Street, Littleton, NH 03561-4101 | 2009-02-23 |
| 1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
| 1083804991 | Ellen Dennehy | Physician Assistant | 3 Water Village Road, Ossipee, NH 03864 | 2007-07-26 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
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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.