MR. STEPHEN THOMAS BEAUDOIN (NPI# 1548401128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548401128 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN THOMAS BEAUDOIN |
| Credential | CO |
| Practice Address |
5l Richardson Dr Derry NH 03038-4920 |
| Practice Telephone | 6032161294 |
| Mailing Telephone | 6032161294 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CO2978 | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CO2978 | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808124 | Stephen Beaudoin | Internal Medicine | 260 Merrimac St, Newburyport, MA 01950-2192 | 2005-06-01 |
| Street Address |
5L RICHARDSON DR |
| City | DERRY |
| State | NH |
| Zip Code | 03038-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854506 | Next Step Bionics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 190 Hanover St, Lebanon, NH 03766-1020 | 2020-02-25 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1518396183 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 23 Stiles Rd Ste 218, Salem, NH 03079-2854 | 2013-11-05 |
| 1245572221 | New Hampshire Prosthetics LLC | Prosthetic/Orthotic Supplier | 30 International Dr Ste 201, Portsmouth, NH 03801-6812 | 2013-03-18 |
| 1760762439 | Red's Shoe Barn, Inc | Prosthetic/Orthotic Supplier | 22 Plaistow Rd, Plaistow, NH 03865-4802 | 2011-08-25 |
| 1891922076 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 236 N Broadway, Salem, NH 03079-2131 | 2009-06-16 |
| 1225274848 | Antony Contarino | Prosthetic/Orthotic Supplier | 11 Woodside Ave, Keene, NH 03431-4362 | 2009-01-02 |
| 1750565479 | Granite State Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 280 Pleasant St Ste 3, Concord, NH 03301-2553 | 2007-12-18 |
| 1629261839 | Gettin Golden and Aj's Wigs | Prosthetic/Orthotic Supplier | 1100 Hooksett Rd Ste 106, Hooksett, NH 03106-1073 | 2007-08-21 |
| 1710094552 | Austin Medical Products | Prosthetic/Orthotic Supplier | 66 Eastern Avenue, Center Conway, NH 03813 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. STEPHEN THOMAS BEAUDOIN.
| 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.