CATHOLIC MEDICAL CENTER (NPI# 1194733691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194733691 |
| Entity Type | Organization |
| Organization Name | CATHOLIC MEDICAL CENTER |
| Other Organization Name | POISSON DENTAL FACILITY |
| Practice Address |
100 Mcgregor St Poisson Dental Facility Manchester NH 03102-3730 |
| Practice Telephone | 6036636226 |
| Practice Fax Number | 6036637800 |
| Mailing Telephone | 6036636226 |
| Mailing Fax Number | 6036637800 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MR. PAUL A MERTZIC (DIRECTOR, COMMUNITY HEALTH SERVICES) |
| Authorized Official Telephone | 6036638709 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30312091 | 05 |
| Other Name | Type Code |
|---|---|
| Poisson Dental Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1841623527 | Catholic Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Mcgregor St # B600a, Manchester, NH 03102-3730 | 2013-08-16 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
| 1972559904 | Catholic Medical Center | Internal Medicine | 20 Washington Pl, Bedford, NH 03110-6706 | 2006-05-25 |
| 1871930834 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2013-05-31 |
| 1750627881 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2012-12-18 |
| 1235370057 | Catholic Medical Center | Surgery | 87 Mcgregor St, Suite 3100, Manchester, NH 03102-3765 | 2009-03-09 |
| 1295907533 | Catholic Medical Center | Internal Medicine | 53 Goffstown Rd, Manchester, NH 03102-2737 | 2008-03-27 |
| 1831381987 | Catholic Medical Center | Internal Medicine | 11 Kimball Dr, Hooksett, NH 03106-2603 | 2007-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATHOLIC MEDICAL CENTER | 100 Mcgregor St, Manchester, NH 03102-3730 |
| Street Address |
100 MCGREGOR ST POISSON DENTAL FACILITY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811486483 | Jared Jacobskind | Dentist | 238c Tolland Tpke, Manchester, CT 06042-5702 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407961063 | Thomas Shealy IIi | Dentist | 2 Raeder Drive, Stratham, NH 03885 | 2006-08-21 |
| 1063485654 | Jay Allan Nesvold | Dentist | 278 Lafayette Road, Bldg E, Portsmouth, NH 03801-5455 | 2006-02-13 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1922233766 | Tri-county Community Action Program | Dentist | 448 White Mountain Hwy, Tamworth, NH 03886-4626 | 2009-05-22 |
| 1093959595 | Jennie P Carcaud-hennigar | Dentist | 448 White Mountain Hwy, Dental Center, Tamworth, NH 03886-4626 | 2009-04-28 |
| 1134240195 | North Country Health Consortium | Dentist | 262 Cottage St, Suite 230, Littleton, NH 03561-4146 | 2007-04-03 |
| 1699789651 | Salem Family Dental PC | Dentist | 220 Main St, Salem Family Dental, Salem, NH 03079 | 2006-07-27 |
| 1780626028 | Leslie L Whone | Dentist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2006-06-12 |
| City | MANCHESTER |
| Zip Code | 03102 |
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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.