SPECTRUM MEDICAL GROUP, P.A. (NPI# 1174050025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174050025 |
| Entity Type | Organization |
| Organization Name | SPECTRUM MEDICAL GROUP, P.A. |
| Other Organization Name | CDI-PORSTMOUTH |
| Practice Address |
100 Griffin Rd Portsmouth NH 03801-7158 |
| Mailing Address |
324 Gannett Dr Ste 200 South Portland ME 04106-3266 |
| Practice Telephone | 6032328415 |
| Mailing Telephone | 2074827800 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-23 |
| Authorized Official Name | DAVID B. LANDRY (CEO) |
| Authorized Official Telephone | 2074827800 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM MEDICAL GROUP, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CDI-Porstmouth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841722618 | Spectrum Medical Group, P.a. | Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2017-03-31 |
| 1639577620 | Spectrum Medical Group, P.a. | Radiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-08 |
| 1003213208 | Spectrum Medical Group, P.a. | Anesthesiology | 489 State St, Bangor, ME 04401-6616 | 2014-12-03 |
| 1821495029 | Spectrum Medical Group, P.a. | Physical Medicine & Rehabilitation | 489 State St, Bangor, ME 04401-6616 | 2014-12-03 |
| 1801140660 | Spectrum Medical Group, P.a. | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2012-11-01 |
| 1265794655 | Spectrum Medical Group, P.a. | Physical Medicine & Rehabilitation | 77 Bates St, Suite 102, Lewiston, ME 04240-7637 | 2012-06-12 |
| 1588687586 | Spectrum Medical Group, P.a. | Radiology | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-25 |
| Street Address |
100 GRIFFIN RD |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358566 | Robert Hickey | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1376815803 | American Health Centers, Inc. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2012-01-30 |
| 1841479532 | Allergy Associates of Nh Pa | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2007-10-30 |
| 1164646071 | Atlantic Plastic Surgery Associates Pa | Clinic/Center | 100 Griffin Rd, Suite B, Portsmouth, NH 03801-7113 | 2007-04-12 |
| 1841276565 | Sandra Lee Mccormack | Nurse Practitioner | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-12-15 |
| 1982601084 | Kevin Jon Roelofs | Allergy & Immunology | 100 Griffin Rd, Unit A, Portsmouth, NH 03801-7158 | 2005-07-05 |
| 1780681809 | Joseph Frazer IIi | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1033116140 | Barbara Deuell | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527502 | Shields Imaging of Portsmouth LLC | Clinic/Center | 1900 Lafayette Rd, Suite B, Portsmouth, NH 03801-5679 | 2014-07-29 |
| 1376815803 | American Health Centers, Inc. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528498110 | Four Seasons Imaging | Clinic/Center | 9 Washington Place, Suite 101, Bedford, NH 03110 | 2013-11-18 |
| 1013267053 | Four Seasons Imaging | Clinic/Center | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2012-09-18 |
| 1194071506 | Four Seasons Imaging | Clinic/Center | 700 Lake Ave, Manchester, NH 03103-2734 | 2012-08-03 |
| 1821344474 | Four Seasons Imaging | Clinic/Center | 17 Riverside St, Ste 101, Nashua, NH 03062-1304 | 2012-08-01 |
| 1124295969 | Essex & Optima Medical Imaging | Clinic/Center | 16 Pelham Rd, Suite 3, Salem, NH 03079-2826 | 2008-05-12 |
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.