CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC (NPI# 1487732822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487732822 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC |
| Practice Address |
106 Hanover St Lebanon NH 03766-1042 |
| Mailing Address |
29 Ridgewood Rd Po Box 2003 Springfield VT 05156-3050 |
| Practice Telephone | 8028856379 |
| Practice Fax Number | 8028856376 |
| Mailing Telephone | 8028856379 |
| Mailing Fax Number | 8028856376 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DAVID L MULLER (ADMINISTRATIVE PARTNER) |
| Authorized Official Telephone | 8028856379 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008018 | 05 | |
| VT | VN1017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619989738 | Connecticut Valley Orthopaedics & Sports Medicine, PC | Neuromusculoskeletal Medicine, Sports Medicine | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2006-08-13 |
| Street Address |
106 HANOVER ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890629 | Harold J Pikus | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2005-06-09 |
| 1801190673 | Kristin Jean Scott | Physician Assistant | 106 Hanover St, Lebanon, NH 03766-1008 | 2011-01-07 |
| 1649581232 | Alice Peck Day Memorial Hospital | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2010-06-29 |
| 1750562260 | Hulda Bra Magnadottir | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2007-11-27 |
| 1225138712 | Joseph Phillips | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766 | 2006-09-24 |
| 1043317241 | Diane Drew | Physician Assistant | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
| 1174620363 | Upper Valley Neurology Neurosurgery,pc | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
| 1972601094 | Richard Saunders | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
| 1902850332 | Jennifer H. Judkins | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295722593 | Duc Kim Hoang | Neuromusculoskeletal Medicine, Sports Medicine | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2005-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089213 | John R Minahan | Neuromusculoskeletal Medicine, Sports Medicine | 20 Portsmouth Ave, Stratham, NH 03885-6528 | 2017-12-19 |
| 1114384922 | Alyssa Vanpatten | Neuromusculoskeletal Medicine, Sports Medicine | 180 W Clarke St Apt 12, Manchester, NH 03104-2449 | 2016-01-25 |
| 1770834509 | Sharon Louise Ducker | Neuromusculoskeletal Medicine, Sports Medicine | 224 Main St Ste 1c, Salem, NH 03079-3174 | 2012-09-19 |
| 1700869096 | David Brian Lewis | Neuromusculoskeletal Medicine, Sports Medicine | 166 S River Rd, Bedford, NH 03110-6928 | 2005-11-21 |
| 1902397011 | Daniele A Crutcher | Neuromusculoskeletal Medicine, Sports Medicine | 20 Portsmouth Ave, Stratham, NH 03885-6528 | 2018-05-24 |
| 1609956093 | Bruce R Myers | Neuromusculoskeletal Medicine, Sports Medicine | 875 Greenland Rd, Building C-4, Portsmouth, NH 03801-4164 | 2006-10-17 |
| 1619057015 | Alison M Baker | Neuromusculoskeletal Medicine, Sports Medicine | 875 Greenland Rd, Building C-4, Portsmouth, NH 03801-4164 | 2006-10-17 |
| 1497835896 | Stefanie Lynn Diamond | Neuromusculoskeletal Medicine, Sports Medicine | 875 Greenland Rd, Suite C4, Portsmouth, NH 03801-4164 | 2006-10-17 |
| 1265455281 | Mark B Silbey | Neuromusculoskeletal Medicine, Sports Medicine | 590 Court St, Keene, NH 03431-1719 | 2006-07-25 |
Please comment or provide details below to improve the information on CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC.
| 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.