ABBA MEDICAL SUPPLY (NPI# 1548258858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548258858 |
| Entity Type | Organization |
| Organization Name | ABBA MEDICAL SUPPLY |
| Practice Address |
72 Portsmouth Ave Suite 104 Stratham NH 03885-2566 |
| Practice Telephone | 6037781698 |
| Practice Fax Number | 6037725885 |
| Mailing Telephone | 6037781698 |
| Mailing Fax Number | 6037725885 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-03-03 |
| Authorized Official Name | MS. MELISSA WAGNER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6037781698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 4224 | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | BLUE CROSS BLUE SHIELD | 1203280YONHI | 01 |
| NH | 30008709 | 05 | |
| HEALTHSOURCE | 292170 | 01 | |
| TRICARE | 020463317 | 01 | |
| CHAMPA AVA | PO020021 | 01 |
| Street Address |
72 PORTSMOUTH AVE SUITE 104 |
| City | STRATHAM |
| State | NH |
| Zip Code | 03885-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417510637 | From The Ground Up Podiatry | Podiatrist | 72 Portsmouth Ave, Stratham, NH 03885-2566 | 2019-04-15 |
| 1942231568 | James H Dolan | Podiatrist | 72 Portsmouth Ave, Ste 107, Stratham, NH 03885-2568 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972886893 | Emily R. Spencer | Physical Therapist | 118 Portsmouth Ave Ste B101, Stratham, NH 03885 | 2011-09-27 |
| 1538371315 | Chalpin Dental Associates PC | Dentist | 62 Portsmouth Ave, Stratham, NH 03885 | 2007-05-04 |
| 1598825721 | Barry John Collins | Optometrist | 74 Portsmouth Ave, Stratham Family Eye Care, Stratham, NH 03885 | 2006-12-11 |
| 1588734016 | Michele A. Mccarthy | Audiologist | 4 West Rd Ste 4c, Stratham, NH 03885 | 2006-11-09 |
| 1720162316 | Cvs Manchester Nh, L.L.C. | Pharmacy | One West Rd, Stratham, NH 03885 | 2006-10-24 |
| 1205937018 | Joann B Stich | Nurse Practitioner | 118 Portsmouth Ave Ste B102, Stratham, NH 03885 | 2006-09-26 |
| 1407961063 | Thomas Shealy IIi | Dentist | 2 Raeder Drive, Stratham, NH 03885 | 2006-08-21 |
| 1215975206 | Doris D Cromer | Family Medicine | 8 Aspen Ln, Stratham, NH 03885 | 2006-06-03 |
| 1093761355 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 100 Shaws Ln, Stratham, NH 03885 | 2006-05-26 |
| 1124095500 | Yvette Youssef | Internal Medicine | 118 Portsmouth Avenue, Mill Brook Office Park, Stratham, NH 03885 | 2006-03-03 |
| Find all providers in zip 03885 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265531545 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 28 Portsmouth Avenue, Stratham, NH 03885-2550 | 2006-09-22 |
| 1093761355 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 100 Shaws Ln, Stratham, NH 03885 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140394 | Associated Benefits Care Group, Inc | Durable Medical Equipment & Medical Supplies | 3 Front St Ste 450, Rollinsford, NH 03869-7001 | 2020-09-24 |
| 1881209757 | Bearpac Medical LLC | Durable Medical Equipment & Medical Supplies | 124 W Point Rd, Moultonborough, NH 03254-2548 | 2020-09-08 |
| 1336764026 | Center for Functional Medicine & Wellbeing LLC | Durable Medical Equipment & Medical Supplies | 3201 Lafayette Rd, Portsmouth, NH 03801-6078 | 2020-06-09 |
| 1881228831 | Revitality LLC | Durable Medical Equipment & Medical Supplies | 6 Anthony Cir, Nashua, NH 03062-4215 | 2020-02-28 |
| 1568930865 | Renmar Dme Inc. | Durable Medical Equipment & Medical Supplies | 40 Terrill Park Dr Unit 4, Concord, NH 03301-7315 | 2018-11-05 |
| 1750860631 | Titan Healthcare LLC | Durable Medical Equipment & Medical Supplies | 170 Commerce Way Ste 200, Portsmouth, NH 03801-3272 | 2018-08-10 |
| 1184129322 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 416 Daniel Webster Hwy Ste T, Merrimack, NH 03054-4125 | 2018-03-29 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1053832345 | Hillsborough Health Supplies | Durable Medical Equipment & Medical Supplies | 1 Tara Blvd Ste 200, Nashua, NH 03062-2809 | 2017-06-28 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ABBA MEDICAL SUPPLY.
| 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.