DARTMOUTH-HITCHCOCK CLINIC (NPI# 1508946732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508946732 |
| Entity Type | Organization |
| Organization Name | DARTMOUTH-HITCHCOCK CLINIC |
| Practice Address |
9 Belmont Ave Brattleboro VT 05301-6613 |
| Mailing Address |
Po Box 810 Hanover NH 03755-0810 |
| Practice Telephone | 8022578221 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | DANIEL P JANTZEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6036505668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0001X |
Internal Medicine Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176861 | Dartmouth-hitchcock Clinic | Clinic/Center | 24 Railroad St, Keene, NH 03431-3744 | 2019-07-22 |
| 1124681846 | Dartmouth-hitchcock Clinic | Clinic/Center | 85 Mechanic St Ste B3-1, Lebanon, NH 03766-1537 | 2019-04-18 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1417579277 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 5 Washington Pl, Bedford, NH 03110-6736 | 2020-05-14 |
| 1477175412 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2020-05-13 |
| 1235751280 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 253 Pleasant St, Concord, NH 03301-7560 | 2020-05-13 |
| 1710509765 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 25 S River Rd, Bedford, NH 03110-6715 | 2020-05-13 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1205343175 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 149 Emerald St, Keene, NH 03431-3611 | 2018-01-02 |
| 1619482445 | Dartmouth-hitchcock Clinic | Internal Medicine | 149 Emerald St, Keene, NH 03431-3611 | 2017-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | DARTMOUTH-HITCHCOCK CLINIC CORPORATION | One Medical Center Dr, Lebanan, NH 03756 |
| Street Address |
9 BELMONT AVE |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516064 | Mid-north Medical Group Incorporated | Family Medicine | 156 North Main Street, St Albans, VT 05478 | 2006-11-17 |
| 1346356060 | Carol Joy Gardner | Family Medicine | 905 Roosevelt Hwy Ste 210, Colchester, VT 05446-4475 | 2006-08-23 |
| 1780631143 | Bruce D Nash | Family Medicine | 308 Ridge Road, Nash Healthcare Managment, Shaftsbury, VT 05262 | 2006-05-30 |
| 1720125313 | Carol J. Gardner, Do PC | Family Medicine | 905 Roosevelt Hwy, Suite 210, Colchester, VT 05446-4475 | 2007-01-31 |
| 1265541023 | Frank Joseph Zsoldos Jr. | Family Medicine | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2006-08-29 |
| 1245345917 | Peter Knight King | Family Medicine | 325 North St, Bennington, VT 05201-1858 | 2006-08-20 |
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on DARTMOUTH-HITCHCOCK CLINIC.
| 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.