MR. BRYAN T LANTZ (NPI# 1619937703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619937703 |
| Entity Type | Individual |
| Full Name | MR. BRYAN T LANTZ |
| Credential | PAC |
| Practice Address |
241 Elm St Claremont NH 03743 |
| Practice Telephone | 6035427666 |
| Practice Fax Number | 6035429312 |
| Mailing Telephone | 6035427666 |
| Mailing Fax Number | 6035429312 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0550030669 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 0486P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0AP2011 | 05 | |
| NH | UNITED HEALTHCARE | 421539118 | 01 |
| NH | ANTHEM BC/BS OF NEW HAMPSHIRE | 01Y004009NH01 | 01 |
| NH | CIGNA HEALTHCARE | 1387569 | 01 |
| NH | 30332565 | 05 | |
| VT | MVP | 710024 | 01 |
| NH | AETNA | 2972483 | 01 |
| NH | HARVARD PILGRIM | F75854 | 01 |
| VT | BCVT | 59775 | 01 |
| Street Address |
241 ELM ST |
| City | CLAREMONT |
| State | NH |
| Zip Code | 03743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669814174 | Patrick J Evans | Physician Assistant | 241 Elm St, Claremont, NH 03743-2026 | 2013-07-25 |
| 1295094480 | Azem Dushaj | Internal Medicine | 241 Elm St, Claremont, NH 03743-2009 | 2012-05-09 |
| 1710156344 | Valley Regional Hospital, Inc. | Orthopaedic Surgery | 241 Elm St, Claremont, NH 03743-2099 | 2008-02-28 |
| 1528141835 | Nancy Quintero | Internal Medicine | 241 Elm St, Claremont, NH 03743-2026 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
| 1285167122 | Erik Baker | Case Management | 52 W Pleasant Street, Claremont, NH 03743 | 2017-04-07 |
| 1598208076 | Home | Public Health or Welfare | 7 Pear St Unit C, Clearmont, NH 03743 | 2016-12-01 |
| 1306238118 | Kyle W Messier | Dental Hygienist | 1 Tremont St., Claremont, NH 03743 | 2015-03-03 |
| 1457653792 | 3 Stone Dental Pllc | Dentist | 367 Washington St. Unit 3, Claremont, NH 03743 | 2010-11-18 |
| 1427363993 | Swathi Dasari | Pharmacist | 71-73 Pleasant St., Claremont, NH 03743 | 2010-08-09 |
| 1811135460 | Kim Marie Reardon | Occupational Therapy Assistant | 290 Hanover Street, Claremont, NH 03743 | 2009-02-04 |
| 1447497227 | Elizabeth Zea Forrest | Social Worker | 140 North Street, West Central Services, Claremont, NH 03743 | 2009-01-15 |
| 1346425980 | Personal Touch Home Aides of Greater Portsmouth, Inc. | Home Health | 156 A Elm Street, Claremont, NH 03743 | 2008-01-02 |
| 1720121445 | Tlc Family Resource Center | Clinic/Center | 109 Pleasant Street, Claremont, NH 03743 | 2007-02-14 |
| Find all providers in zip 03743 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144044 | Adrian Esteban Andryjowicz | Physician Assistant | 702 Gettysburg Cir, Claremont, CA 91711-2939 | 2020-01-29 |
| 1306491121 | Sami Ahmed Ali | Physician Assistant | 2248 N Mills Ave, Claremont, CA 91711-1950 | 2019-08-08 |
| 1285187641 | Jeanette Aberin | Physician Assistant | 1405 Regis Ave, Claremont, CA 91711-3347 | 2016-08-02 |
| 1740661586 | Rachel Lynn Hechanova | Physician Assistant | 2058 N Mills Ave, #202, Claremont, CA 91711-2812 | 2015-06-17 |
| 1730115718 | James R Fox | Physician Assistant | 3114 W Main St, Claremont, NC 28610-9609 | 2006-06-23 |
| 1417951096 | Robyn Dettmar | Physician Assistant | 1601 Monte Vista Ave, 190, Claremont, CA 91711-2962 | 2005-06-10 |
| 1740769777 | Felicia M Bickford Butler | Physician Assistant | 243 Elm St, Claremont, NH 03743-4999 | 2018-08-10 |
| 1366929887 | Alexis S Holverson | Physician Assistant | 1601 Monte Vista Ave Ste 190, Claremont, CA 91711-6600 | 2018-07-26 |
| 1912443086 | Thuy Phuong Bach | Physician Assistant | 1601 Monte Vista Ave, Suite 100, Claremont, CA 91711-2962 | 2017-01-13 |
| 1538562103 | Lauren Kubeck | Physician Assistant | 1601 Monte Vista Ave, Suite 190, Claremont, CA 91711-2962 | 2014-09-26 |
| Find all providers in CLAREMONT | ||||
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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.