MARA S SMITH


Address: 121 Corporate Drive, Suite 200, Portsmouth, NH 03801
Phone: 6036108092

MARA S SMITH (NPI# 1588650501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588650501
Entity Type Individual
Full Name MARA S SMITH
Other Name MARA S YORK
Credential PA-C
Practice Address 121 Corporate Drive
Suite 200
Portsmouth
NH 03801
Mailing Address 789 Central Ave
Dover
NH 03820-2526
Practice Telephone 6036108092
Mailing Telephone 6036108092
Mailing Fax Number 6036108096
Enumeration Date 2005-09-26
Last Update Date 2019-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0392P NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 3083043 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
789 Central Ave, Dover, NH 038202526 6036108095

Office Location

Street Address 121 CORPORATE DRIVE
SUITE 200
City PORTSMOUTH
State NH
Zip Code 03801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265691927 Wilhelmina Cabalona Internal Medicine 121 Corporate Drive, Building C, Portsmouth, NH 03801 2008-06-06
1083678387 Cynthia P Barbarits Surgery 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 2006-04-13
1598728701 Molly Buzdon Surgery 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1790262988 Naturae, LLC Naturopath 501 Islington St., Ste 2b, Portsmouth, NH 03801 2018-07-20
1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
1093185415 Johanna Miriam Simmerman Mauss Naturopath 501 Islington Street, Suite 2b, Portsmouth, NH 03801 2015-09-28
Find all providers in zip 03801

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508047010 James Alfred Carroll Physician Assistant One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 2007-11-27
1164517504 Kathleen Ann Ballentine Physician Assistant 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 2006-10-03
1467462945 Angela Jean Cerezo Physician Assistant 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 2006-08-08
1184609125 Renald Rouillard Physician Assistant 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 2005-12-13
1184180663 Emily Farrell Physician Assistant 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 2019-02-20
1356741151 Rachel Whitman Physician Assistant 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 2014-08-28
1376970350 Anne Macadam Physician Assistant 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 2013-10-04
1821349200 Kirsten Nicole Allred Physician Assistant 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2012-09-26
1992095608 Elizabeth Mclaughlin Snyder Physician Assistant 3636 High St, Portsmouth, VA 23707-3236 2011-04-14
1801190665 Matthew David Doughman Physician Assistant 1711 27th St Ste 102, Portsmouth, OH 45662-2657 2011-01-07
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

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.

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