RAY H VANWYNGARDEN (NPI# 1386716942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386716942 |
| Entity Type | Individual |
| Full Name | RAY H VANWYNGARDEN |
| Credential | D.O. |
| Practice Address |
3073 White Mountain Hwy North Conway NH 03860-5111 |
| Mailing Address |
324 Gannett Dr Ste 200 South Portland ME 04106-3266 |
| Practice Telephone | 6033565461 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1845 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | HPHC | AA13881 | 01 |
| ME | 406330099 | 05 | |
| ME | AETNA | 5613015 | 01 |
| ME | AETNA USHC | 3492228 | 01 |
| ME | CIGNA | 4836386 | 01 |
| NH | ANTHEM | 01Y005460NH | 01 |
| NH | 30222887 | 05 |
| Street Address |
3073 WHITE MOUNTAIN HWY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1649826413 | Cynthia Hellstein Walsh | Occupational Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-08-16 |
| 1134781602 | Nicole M Veilleux | Advanced Practice Midwife | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-07-03 |
| 1952962979 | Michelle Renee Mattei | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-21 |
| 1689234700 | Adam Scheletsky | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-20 |
| 1053970202 | Marla A Browning | Speech-Language Pathologist | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-06-11 |
| 1124683594 | Melanie Glavin | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-05-01 |
| 1215497631 | Kathryn Villarevia | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-03-21 |
| 1003384488 | Austin Creer | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-11-05 |
| 1235638057 | Jodi Tracy | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625077 | John A Kustan | Radiology | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813859 | Amjad Massoud | Radiology | 18 Sheafe St, Portsmouth, NH 03801-3818 | 2015-10-09 |
| 1437392131 | Elizabeth Fleming Clemente | Radiology | 2 1/2 Beacon St Ste 199, Concord, NH 03301-4447 | 2009-04-09 |
| 1154585867 | Brett Schneider | Radiology | 87 Spring St Ste 101, Laconia, NH 03246-3135 | 2008-07-11 |
| 1508026626 | Banu Oner | Radiology | 3 Kendall Pond Rd, Derry, NH 03038-7201 | 2008-06-12 |
| 1083805519 | Carl Richard Makarewicz | Radiology | 15 Mill Rd, Derry, NH 03038-4617 | 2007-08-08 |
| 1437364965 | New Hampshire Open Mri LLC | Radiology | 8 Commerce Ave, Suite 4, West Lebanon, NH 03784-1669 | 2007-05-10 |
| 1891825329 | Boris P Bushueff | Radiology | 2354 George Hill Road, West Springfield, NH 03284 | 2007-03-06 |
| 1063548105 | John A Howell | Radiology | 38 Fairway Lane, Whitefield, NH 03598 | 2007-02-25 |
| 1659427490 | White Mountain Radiology, P.C. | Radiology | Littleton Regional Hospital, 600 St. Johnsbury Road, Littleton, NH 03561 | 2007-01-26 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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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.