WENTWORTH DOUGLASS HOSPITAL


Address: 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870
Phone: 6037425252

WENTWORTH DOUGLASS HOSPITAL (NPI# 1407385198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407385198
Entity Type Organization
Organization Name WENTWORTH DOUGLASS HOSPITAL
Other Organization Name DIABETES SERVICES
Practice Address 15 Old Rollinsford Rd Ste 105
Dover
NH 03820-2870
Mailing Address Po Box 412540
Boston
MA 02241-2540
Practice Telephone 6037425252
Enumeration Date 2017-06-07
Last Update Date 2020-07-01
Authorized Official Name TRISHA GAGNON (DIRECTOR OF REVENUE CYCLE OPERATION)
Authorized Official Telephone 6037403205
Is Organization Subpart Y
Parent Organization Name WENTWORTH DOUGLASS HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WD0400X Registered Nurse
Specialization: Diabetes Educator
Nursing Service Providers
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 3074430 05

Other Provider/Organization Names

Other Name Type Code
Diabetes Services Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
789 Central Ave, Dover, NH 038202526 6037425252

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013522994 Wentworth Douglass Hospital Clinic/Center 200 Route 108 Ste 3, Somersworth, NH 03878-1119 2020-09-09
1477038461 Wentworth Douglass Hospital Clinic/Center 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 2018-09-26
1366929440 Wentworth Douglass Hospital Clinic/Center 701b Central Ave, Dover, NH 03820-3403 2018-07-23
1558857615 Wentworth Douglass Hospital Clinic/Center 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 2018-07-02
1033118104 Wentworth Douglass Hospital Clinic/Center 789 Central Avenue, Dover, NH 03820 2005-07-20
1528687829 Wentworth Douglass Hospital General Acute Care Hospital 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 2020-04-16
1578118386 Wentworth Douglass Hospital Clinic/Center 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 2019-08-08
1235605429 Wentworth Douglass Hospital Clinical Medical Laboratory 789 Central Ave, Dover, NH 03820-2526 2018-10-16
1043669195 Wentworth Douglass Hospital Durable Medical Equipment & Medical Supplies 789 Central Ave, Dover, NH 03820 2016-06-09
1124496823 Wentworth Douglass Hospital Clinical Medical Laboratory 789 Central Ave, Dover, NH 03820 2015-09-11

Office Location

Street Address 15 OLD ROLLINSFORD RD STE 105
City DOVER
State NH
Zip Code 03820-2870

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831701242 Kassie Nicole Zukowski Speech-Language Pathologist 40 Chestnut St., Unit 3, Dover, NH 03820 2020-08-18
1013537851 St.pierre Counseling, Pllc Community/Behavioral Health 6 Old Rochester Road, Dover, NH 03820 2020-04-22
1790324002 Mark Boren Driver 29 Cornerstone Dr., Dover, NH 03820 2020-01-03
1568963221 Sarah Hesketh Speech-Language Pathologist 61 Locust Street #333, Dover, NH 03820 2018-02-27
1881106524 Ashley Leighton Specialist/Technologist 197 Dover Point Rd, Dover, NH 03820 2017-11-03
1588048854 Alliance Mental Health and Youth Consultation Services LLC Counselor 1 Washington St Ste 318, Dover, NH 03820 2015-07-16
1275920027 Meredith Ashley Joyce Counselor 50 Chesnut St., Dover, NH 03820 2015-04-20
1891182655 Jodi Alger Registered Nurse 113 Crosby Rd Suite 1, Dover, NH 03820 2015-04-20
1497148159 Laura Anne Forsblad Counselor 750 Central Ave Ste Us, Dover, NH 03820 2015-03-05
1295142867 Heather M Driscoll Case Management 50 Chestnut Street, Suite A, Dover, NH 03820 2014-07-16
Find all providers in zip 03820

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801404512 Caroline Hutchins Egener Dietitian, Registered 49 Pine St, Dover, MA 02030-2427 2020-07-20
1699309062 Tina Faith Labarre Dietitian, Registered 95 County Farm Cross Rd, Dover, NH 03820-6007 2020-02-25
1548726417 Tracy Ellen Fennemore Dietitian, Registered 399 Scarlet Cir, Dover, DE 19904-5658 2019-02-15
1639652795 Megan Martin Dietitian, Registered 3301 N Wooster Ave, Dover, OH 44622-9400 2018-09-13
1336685866 Allison Porter Dietitian, Registered 1225 E 2nd St, Dover, OH 44622-1268 2017-01-08
1437512720 Courtney Bellino Dietitian, Registered 1 Washington St Ste 3121, Dover, NH 03820-2233 2016-04-04
1215395199 Kara Pavlidis Dietitian, Registered 42 Dover Point Rd Unit K, Dover, NH 03820-4668 2016-02-05
1306231220 Sarah Marie Carlson Dietitian, Registered 523 Ricksecker St, Dover, OH 44622-9476 2015-03-30
1316230410 Roger Elroy Warn Dietitian, Registered 18 Reservoir Ave, Dover, NJ 07801-4819 2011-05-23
1558550962 Jennifer D Ganly Dietitian, Registered 652f Central Ave # F, Dover, NH 03820-3414 2007-10-22
Find all providers in DOVER

Competitor

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City DOVER
Zip Code 03820

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Dataset Information

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.

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