SKILLED MEDICAL PROVIDER GROUP PLLC (NPI# 1386952844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386952844 |
| Entity Type | Organization |
| Organization Name | SKILLED MEDICAL PROVIDER GROUP PLLC |
| Practice Address |
13 Surrey Ln Durham NH 03824-4413 |
| Practice Telephone | 6034594522 |
| Mailing Telephone | 6034594522 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |
| Authorized Official Name | DR. PAUL P BERGERON (MANAGER) |
| Authorized Official Telephone | 6034594522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
13 SURREY LN |
| City | DURHAM |
| State | NH |
| Zip Code | 03824-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
| 1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
| 1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
| 1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
| 1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
| 1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
| 1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
| 1568513976 | Suellen O Drake | Nurse Practitioner | 13 Jenkins Ct Ste 247, Durham, NH 03824 | 2007-01-13 |
| 1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
| 1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
| Find all providers in zip 03824 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077780 | Linda Heskestad Harpole | Internal Medicine | 3475 Erwin Rd Ste 200, Durham, NC 27705-0005 | 2017-11-27 |
| 1932629136 | Solomiia Savedchuk | Internal Medicine | 1000 Mcqueen Dr Apt 10102, Durham, NC 27705-8842 | 2017-06-20 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1497141097 | Myung Woo | Internal Medicine | Duke University Hospital 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| 1750701918 | Lana Wahid | Internal Medicine | 40 Duke Medicine Cir # 3534, Durham, NC 27710-4000 | 2014-04-25 |
| 1962822742 | Zachary Hager | Internal Medicine | 40 Medicine Circle Duke University Medical Center 3534, Durham, NC 27710-4872 | 2014-04-21 |
| 1316383243 | Nastassia Jennae Schenkel | Internal Medicine | Duke Primary Care Pickett Road, 3004 Tower Blvd, Durham, NC 27707 | 2013-05-19 |
| 1114360799 | James Stanley Howard | Internal Medicine | 2301 Erwin Rd Ste 1151, Durham, NC 27705 | 2013-04-12 |
| 1053651695 | John Morrison Macgregor | Internal Medicine | 92 Dover Rd, Durham, NH 03824-3318 | 2013-02-19 |
| 1649527714 | Duke University Affiliated Physicians, Inc. | Internal Medicine | 4020 Roxboro Rd, Durham, NC 27704 | 2012-08-08 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on SKILLED MEDICAL PROVIDER GROUP PLLC.
| 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.