WENTWORTH DOUGLASS HOSPITAL (NPI# 1477038461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477038461 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Practice Address |
121 Corporate Dr Bldg A Portsmouth NH 03801-6895 |
| Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
| Practice Telephone | 6037428787 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TRISHA GAGNON (DIR. OF REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 6037403205 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3074430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 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 |
| 1407385198 | Wentworth Douglass Hospital | Registered Nurse | 15 Old Rollinsford Rd Ste 105, Dover, NH 03820-2870 | 2017-06-07 |
| 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 |
| Street Address |
121 CORPORATE DR BLDG A |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-6895 |
| 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 | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| 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.