KATHLEEN ANN BALLENTINE


Address: 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801
Phone: 6034315858

KATHLEEN ANN BALLENTINE (NPI# 1164517504) 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) 1164517504
Entity Type Individual
Full Name KATHLEEN ANN BALLENTINE
Credential PA-C
Practice Address 333 Borthwick Ave, Suite 301
Knees, Hops, Shoulders
Portsmouth
NH 03801
Mailing Address Po Box 1182
141 Ten Rod Rd
Rochester
NH 03866-1182
Practice Telephone 6034315858
Practice Fax Number 6033322165
Mailing Telephone 6033324828
Mailing Fax Number 6033322165
Enumeration Date 2006-10-03
Last Update Date 2010-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0543P NH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 333 BORTHWICK AVE, SUITE 301
KNEES, HOPS, SHOULDERS
City PORTSMOUTH
State NH
Zip Code 03801

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1467462945 Angela Jean Cerezo Physician Assistant 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 2006-08-08
1184609125 Renald Rouillard Physician Assistant 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 2005-12-13
1588650501 Mara S Smith Physician Assistant 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 2005-09-26
1184180663 Emily Farrell Physician Assistant 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 2019-02-20
1356741151 Rachel Whitman Physician Assistant 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 2014-08-28
1376970350 Anne Macadam Physician Assistant 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 2013-10-04
1821349200 Kirsten Nicole Allred Physician Assistant 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2012-09-26
1992095608 Elizabeth Mclaughlin Snyder Physician Assistant 3636 High St, Portsmouth, VA 23707-3236 2011-04-14
1801190665 Matthew David Doughman Physician Assistant 1711 27th St Ste 102, Portsmouth, OH 45662-2657 2011-01-07
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Competitor

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City PORTSMOUTH
Zip Code 03801

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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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