DALE COLLINS VIDAL (NPI# 1639198138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639198138 |
| Entity Type | Individual |
| Full Name | DALE COLLINS VIDAL |
| Credential | M.D. |
| Practice Address |
127 Mascoma St Lebanon NH 03766-2661 |
| Mailing Address |
10 Alice Peck Day Dr Lebanon NH 03766-2900 |
| Practice Telephone | 6034439572 |
| Practice Fax Number | 6034439521 |
| Mailing Telephone | 6034483121 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 9412 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0RE3751 | 05 | |
| NH | 30008405 | 05 |
| Street Address |
127 MASCOMA ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740277276 | Katharine Riley | Physician Assistant | 127 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-30 |
| 1134423213 | Deborah A. Glazer, Md | Family Medicine | 127 Mascoma St, Lebanon, NH 03766-2647 | 2011-01-04 |
| 1952312183 | John B Gregory | Podiatrist | 127 Mascoma St, Lebanon, NH 03766-2661 | 2006-08-11 |
| 1073529814 | Linda Marie Limburg | Advanced Practice Midwife | 127 Mascoma St, Lebanon, NH 03766-2647 | 2006-08-01 |
| 1518946771 | Phillip B Collins | Preventive Medicine | 127 Mascoma St, Lebanon, NH 03766-2661 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629042015 | Jame Francis Arnold | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042 | 2006-02-14 |
| 1073166963 | Wellspan Medical Group | Plastic Surgery | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2019-07-19 |
| 1285899666 | Earl Dwayne Lett, PC | Plastic Surgery | 1417 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2008-07-24 |
| 1578766986 | Lebanon Plastic Surgery Associates P C | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042-6204 | 2007-06-06 |
| 1598848699 | John Francis Nigriny | Plastic Surgery | 1 Medical Center Dr, Dhmc - Department of Plastic Surgery, Lebanon, NH 03756-1000 | 2006-10-23 |
| 1912015215 | Joseph Mark Rosen | Plastic Surgery | 1 Medical Center Drive, Lebanon, NH 03756 | 2006-08-27 |
| 1497775456 | Mitchell Andrew Stotland | Plastic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-20 |
| 1073532636 | Carolyn Kerrigan | Plastic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-18 |
| 1811971807 | Joseph H Shin | Plastic Surgery | 1 Medical Center Dr, Plastic & Reconstructive Surgery, Lebanon, NH 03756-1000 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336345362 | Emese Kalnoki-kis | Plastic Surgery | 246 Pleasant St Ste 210, Concord, NH 03301-2548 | 2007-06-26 |
| 1326241522 | Heidi Michelle Harrington | Plastic Surgery | 10 Members Way Ste 303, Dover, NH 03820-5933 | 2007-06-06 |
| 1891860581 | Robert S Feins Md Prof Assn | Plastic Surgery | 144 Tarrytown Road, Doctors Park, Manchester, NH 03103-2713 | 2006-11-21 |
| 1629069216 | Daniel Anthony Sterling | Plastic Surgery | 2 Washington Place, Bedford, NH 03110 | 2005-11-02 |
| 1689667768 | Robert S Feins | Plastic Surgery | 144 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-08-24 |
| 1518959832 | Bruce M. Topol | Plastic Surgery | 36 Bay St, Manchester, NH 03104-3003 | 2005-08-22 |
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1356698419 | Bruce M. Topol, Md,, Pa | Plastic Surgery | 36 Bay St, Manchester, NH 03104-3003 | 2012-08-08 |
| 1932498243 | Mark B Constantian Md Pa | Plastic Surgery | 19 Tyler St, Suite 302, Nashua, NH 03060-2951 | 2011-04-07 |
| 1659699908 | Anthony Joseph Wilson | Plastic Surgery | 137 Portsmouth Ave, Stratham, NH 03885-2421 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
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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.