DR. TANYA FEKE (NPI# 1528091592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528091592 |
| Entity Type | Individual |
| Full Name | DR. TANYA FEKE |
| Credential | M.D. |
| Practice Address |
125 Indian Rock Rd Windham NH 03087-2008 |
| Mailing Address |
3 Mitchell Pond Rd Windham NH 03087-1241 |
| Practice Telephone | 6038906330 |
| Practice Fax Number | 6034587626 |
| Mailing Telephone | 6038184007 |
| Mailing Fax Number | 8887179847 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16266 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT STATE LICENSE | 044503 | 01 |
| CT | 01445031 | 05 |
| Street Address |
125 INDIAN ROCK RD |
| City | WINDHAM |
| State | NH |
| Zip Code | 03087-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818099 | Jessica Gluek Pluta | Nurse Practitioner | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2020-10-13 |
| 1154883429 | Annemarie Wehrer | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2019-04-04 |
| 1740758531 | Mary Margaret Baker | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2018-11-09 |
| 1568940583 | Thomas Howard Mcnulty | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2018-08-01 |
| 1548759731 | Julian Perti | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2018-05-03 |
| 1710480413 | Kenna Finlayson | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2018-03-09 |
| 1528570298 | Tara Lee Richard | Nurse Practitioner | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-11-02 |
| 1205352259 | Corey David Williams | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-08-21 |
| 1295265411 | Convenientmd LLC | Clinic/Center | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-06-20 |
| 1790139244 | Alyssa Dunn | Physician Assistant | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2016-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627781 | Benjamin Paul Sherr | Physical Therapist | 32 Indian Rock Road, Unit 5, Windham, NH 03087 | 2015-08-21 |
| 1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
| 1235412750 | Julie M Ferry | Physical Therapist | 3 Church Road, Windham, NH 03087 | 2011-09-21 |
| 1821308867 | Emlee Paige Betts | Counselor | 46 Lowell Road, Unit 7, Windham, NH 03087 | 2010-10-08 |
| 1851531784 | Serena J Verolla | Nurse Practitioner | 58 Range Rd Ste R-05, Windham, NH 03087 | 2009-03-05 |
| 1619198009 | Katherine Ann Hebert Smith | Occupational Therapist | 3 Industrial Drive, Unit 1, Windham, NH 03087 | 2007-05-01 |
| 1164558532 | Windham Dental Center | Dentist | 25 Indian Rock Road, Suite One, Windham, NH 03087 | 2007-02-27 |
| 1013079862 | Lisa Marie Hatzos | Internal Medicine | 127 Rockingham Road, Suite 103 Elliot Peak Internal Medicine At Windham, Windham, NH 03087 | 2006-12-15 |
| 1669578571 | Aimee Murray | Physician Assistant | 49 Range Rd Ste 104, Windham, NH 03087 | 2006-09-16 |
| 1902852262 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 43 Indian Rock Rd, Windham, NH 03087 | 2006-05-26 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205077062 | Xenia Wilma Stone | Family Medicine | 22 Oriole Rd, Windham, NH 03087-1614 | 2009-03-09 |
| 1194758045 | Carl J. Schuler | Family Medicine | 744 Roosevelt Trl, Suite 206, Windham, ME 04062-5282 | 2006-07-07 |
| 1609813443 | Stephen B Paulding | Family Medicine | 409 Roosevelt Trl, Windham, ME 04062-4821 | 2006-06-01 |
| 1033198767 | Michael D. Mccarten | Family Medicine | 5 Industrial Dr Unit B, Elliot Family Medicine At Windham, Windham, NH 03087-2021 | 2006-01-11 |
| 1720069164 | Michael Romanowsky | Family Medicine | 63 Range Rd, Windham, NH 03087-2098 | 2005-11-11 |
| 1790329233 | Marie A Hupper | Family Medicine | 17 Mallison Falls Rd, Windham, ME 04062-4135 | 2019-10-28 |
| 1750935375 | Picone Family Medicine, LLC | Family Medicine | 9621 E Center St, Windham, OH 44288-1010 | 2019-07-31 |
| 1164926879 | Cassandra Denise Purington | Family Medicine | 49 Range Rd Ste 104, Windham, NH 03087-2029 | 2018-03-19 |
| 1689037368 | Sheery Ali | Family Medicine | 5 Industrial Dr Unit B, Windham, NH 03087 | 2016-03-31 |
| 1801276167 | Bruce Abramowitz | Family Medicine | 5 Industrial Dr Unit B, Windham, NH 03087 | 2015-06-02 |
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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.