DR. DIANE MARIE PALAC (NPI# 1629006069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629006069 |
| Entity Type | Individual |
| Full Name | DR. DIANE MARIE PALAC |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Dhmc Gim Lebanon NH 03756-1000 |
| Practice Telephone | 6036539500 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
8678 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0RE3179 | 05 | |
| NH | 80003179 | 05 |
| Street Address |
1 MEDICAL CENTER DR DHMC GIM |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473917 | Lynda Lee Lapan | Obstetrics & Gynecology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-10-08 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1275149858 | Makenzie Welch | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-19 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1275145104 | Nicole Faye Hoshiko | Dietitian, Registered | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1609486703 | Melanie Lynn Del Frari | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-04 |
| 1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
| 1932717170 | Sydney Allen | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-14 |
| 1033737143 | Matthew David Thomson | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506855 | Saba Azher Ansari | Internal Medicine | 100 Arrow Springs Blvd Ste 2700, Lebanon, OH 45036-7019 | 2005-05-24 |
| 1245597442 | Rebecca Scott Crow | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Geriatrics, Lebanon, NH 03756-1000 | 2012-04-12 |
| 1245465129 | Primary Care Plus, LLC | Internal Medicine | 1405 W Baddour Pkwy, Suite 103, Lebanon, TN 37087-2567 | 2009-05-21 |
| 1821114539 | Julie Patterson Fago | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-03-22 |
| 1295832616 | Kenneth Martin Dolkart | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-0001 | 2006-09-20 |
| 1295837581 | Scott T Shreve | Internal Medicine | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-09-05 |
| 1063440063 | Lisa Anne Furmanski | Internal Medicine | 5 Alice Peck Day Dr, Lebanon, NH 03766-2901 | 2006-06-29 |
| 1457344665 | William Elmer Schaeffer Jr. | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336219823 | Bejoy B Kundu | Internal Medicine | 3 Denny Hill Road, Warner, NH 03278 | 2006-11-09 |
| 1457448086 | Sourya Ranjan Mahapatra | Internal Medicine | Nashua Center for Healthy Aging, 280 Main St., #210a, Nashua, NH 03060 | 2006-10-06 |
| 1275508988 | Manish Chopra | Internal Medicine | Senior Health Primary Care, 138 Webster Street, Manchester, NH 03104 | 2006-02-17 |
| 1942291158 | Raphael Farra | Internal Medicine | 300 Kearney Cir, Manchester, NH 03104-1816 | 2005-11-04 |
| 1417956368 | Cyrille P Cucio | Internal Medicine | 17 Riverside St, Suite 202, Nashua, NH 03062-1304 | 2005-07-21 |
| 1770966962 | Michael Keuroghlian | Internal Medicine | 590 Court St, Keene, NH 03431 | 2015-07-07 |
| 1477991107 | Agata Marszalek Litauska | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2013-06-04 |
| 1730319633 | Lyn Singer Lindpaintner | Internal Medicine | 248 Pleasant St, Suite 2800, Concord, NH 03301-2588 | 2009-07-27 |
| 1740410505 | Keron Babu Navarengom | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2009-07-15 |
| 1427290246 | The Roger Dionne Senior Center | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2009-03-25 |
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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.