DAGAN CLOUTIER (NPI# 1184817207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184817207 |
| Entity Type | Individual |
| Full Name | DAGAN CLOUTIER |
| Credential | PA-C |
| Practice Address |
17 Riverside St Suite 101 Nashua NH 03062-1304 |
| Practice Telephone | 6038830091 |
| Practice Fax Number | 6038813739 |
| Mailing Telephone | 6038830091 |
| Mailing Fax Number | 6038813739 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0638 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | NEW HAMPSHIRE STATE LIC. | 0638 | 01 |
| Street Address |
17 RIVERSIDE ST SUITE 101 |
| City | NASHUA |
| State | NH |
| Zip Code | 03062-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956368 | Cyrille P Cucio | Internal Medicine | 17 Riverside St, Suite 202, Nashua, NH 03062-1304 | 2005-07-21 |
| 1548880933 | Mia Nicole Neas | Occupational Therapist | 17 Riverside St, Nashua, NH 03062-1304 | 2020-04-26 |
| 1912484841 | Christopher Beaudet | Nurse Practitioner | 17 Riverside St, Nashua, NH 03062-1304 | 2018-07-24 |
| 1144607201 | Timothy L. Smith | Physician Assistant | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2015-04-28 |
| 1720472483 | Shad Hansen | Physical Therapist | 17 Riverside St, Suite 203, Nashua, NH 03062-1304 | 2015-03-20 |
| 1831582360 | Kathleen Ann Romano | Occupational Therapist | 17 Riverside St, Suite 203, Nashua, NH 03062-1304 | 2015-03-09 |
| 1174969166 | Jake A. Motha | Physical Therapist | 17 Riverside St, Ste 101, Nashua, NH 03062-1304 | 2013-05-16 |
| 1386089886 | Matthew Davie Modelane | Physical Therapist | 17 Riverside St, Nashua, NH 03062-1304 | 2013-05-10 |
| 1013267053 | Four Seasons Imaging | Clinic/Center | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2012-09-18 |
| 1821344474 | Four Seasons Imaging | Clinic/Center | 17 Riverside St, Ste 101, Nashua, NH 03062-1304 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102998 | Dcy Consulting Pllc | Psychologist | 11 Brackenwood Drive, Nashua, NH 03062 | 2020-04-09 |
| 1477108140 | Timothy Michael Salisbury | Massage Therapist | 505 W. Hollis St., Unit 206 A, 505 W Hollis St Ste 206 A, Nashua, NH 03062 | 2019-08-08 |
| 1548822620 | Northridge Surgical Suites, LLC | Clinic/Center | 41 Innovative Way, Nashua, NH 03062 | 2019-06-28 |
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1194137356 | Jacqueline Shannon | Physical Therapist | 20 Industrial Park Drive, Nashua, NH 03062 | 2014-05-22 |
| 1801220280 | Foundation Medical Partners Inc. | Durable Medical Equipment & Medical Supplies | 112 Spit Brook Rd., Nashua, NH 03062 | 2013-08-21 |
| 1588903124 | Tessa Katherine Macgillivary | Counselor | 76 Northeastern Blvd Unit 28, Nashua, NH 03062 | 2013-02-01 |
| 1578821302 | Active Physical Therapy | Physical Therapist | 681 W Hollis St, Nashua, NH 03062 | 2012-04-30 |
| 1265799092 | Nashua Ambulatory Surgical Center LLC | Clinic/Center | 15 Riverside Drive, Nashua, NH 03062 | 2012-04-18 |
| 1942437835 | Rebecca Murphy | Counselor | 589 West Hollis Street, Suite 203, Nashua, NH 03062 | 2009-06-17 |
| Find all providers in zip 03062 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1104925783 | George Hiller Lewis | Physician Assistant | 505 West Hollis St, Suite 110, Nashua, NH 03063 | 2006-09-21 |
| 1194371591 | Tess Alexandra Wiggin | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2019-08-13 |
| 1982065801 | Sarah M Farris | Physician Assistant | 460 Amherst St, Nashua, NH 03063-1220 | 2016-03-20 |
| 1376921692 | Katherine Hamilton | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2015-05-07 |
| 1346632999 | Rachael Thompson Lashua | Physician Assistant | 29 Northwest Blvd, Immediate Care of Southern Nh, Nashua, NH 03063-4068 | 2015-02-19 |
| 1700229580 | Kaleigh Ann Mca'nulty | Physician Assistant | 22 Prospect St, Nashua, NH 03060-3924 | 2013-04-11 |
| 1932442373 | Erin L Cacciola | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2013-04-04 |
| 1770856858 | Jiaxuan Zhu | Physician Assistant | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2012-02-20 |
| 1114294378 | Melba Gussy C Quitayen | Physician Assistant | 22 Prospect St, Nashua, NH 03060-3924 | 2011-11-16 |
| 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.