CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC (NPI# 1336764026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336764026 |
Entity Type | Organization |
Organization Name | CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC |
Other Organization Name | CENTER FOR WELLBEING |
Practice Address |
3201 Lafayette Rd Portsmouth NH 03801-6078 |
Practice Telephone | 6033809159 |
Mailing Telephone | 6033809159 |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-07-27 |
Authorized Official Name | DR. JEFFREY DONATELLO (OWNER) |
Authorized Official Telephone | 2074517438 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Center for Wellbeing | Doing Business As Name - Organization |
Street Address |
3201 LAFAYETTE RD |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-6078 |
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 | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225263270 | Christopher D. Clagett | Preventive Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2103 | 2009-05-20 |
1912024514 | Steven Johannes Yevich | Preventive Medicine | 4023 Long Point Blvd, Portsmouth, VA 23703-5348 | 2007-03-26 |
1366421638 | Ann Patricia Fallon | Preventive Medicine | 620 John Paul Jones Cir, Suite 1100, Portsmouth, VA 23708-2111 | 2006-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730248592 | Natacha Villamia Sochat | Preventive Medicine | 358 Quaker St, Weare, NH 03281-4541 | 2006-12-07 |
1104301068 | Top Wellness, Inc. | Preventive Medicine | 325 Washington St, Dover, NH 03820-3630 | 2018-09-26 |
1437680014 | Amber Elizabeth Barnato | Preventive Medicine | 1 Medical Center Dr, Dhmc Department of Medicine (palliative Care), Lebanon, NH 03756-1000 | 2017-03-24 |
1679907158 | Doris H Lotz | Preventive Medicine | 129 Pleasant St, Office Medicaid Business and Policy, Concord, NH 03301-3852 | 2013-09-03 |
1598898124 | Richard Lee Siemens | Preventive Medicine | 718 Smyth Rd, V.a. Medical Center, Primary Care, Manchester, NH 03104-7007 | 2007-03-13 |
1114029766 | Brian Robert Shiner | Preventive Medicine | 1 Medical Center Dr, Dartmouth-hitchcock Psychiatric Associates, Lebanon, NH 03756-1000 | 2006-09-03 |
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.