ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1649581232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649581232 |
Entity Type | Organization |
Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
Other Organization Name | NEUROSURGERY SERVICE AT APD |
Practice Address |
106 Hanover St Lebanon NH 03766-1042 |
Mailing Address |
10 Alice Peck Day Dr Lebanon NH 03766-2647 |
Practice Telephone | 6034480447 |
Practice Fax Number | 6034480019 |
Mailing Telephone | 6034483121 |
Mailing Fax Number | 6034487462 |
Enumeration Date | 2010-06-29 |
Last Update Date | 2013-04-25 |
Authorized Official Name | SUSAN E MOONEY (CEO/PRESIDENT) |
Authorized Official Telephone | 6034483121 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 11711 | NH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1018305 | 05 | |
NH | 30218589 | 05 |
Other Name | Type Code |
---|---|
Neurosurgery Service at APD | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942691829 | Alice Peck Day Memorial Hospital | Podiatrist | 20 W Park St Ste 320, Lebanon, NH 03766-1322 | 2015-02-12 |
1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
1831490309 | Alice Peck Day Memorial Hospital | Orthopaedic Surgery | 205 Billings Farm Rd, Suite 3a, White River Junction, VT 05001-5400 | 2010-11-15 |
1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
1891908919 | Alice Peck Day Memorial Hospital | Pharmacy | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-07 |
1295805950 | Alice Peck Day Memorial Hospital | General Practice | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-11-09 |
1093761892 | Alice Peck Day Memorial Hospital | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766 | 2006-05-25 |
1073569810 | Alice Peck Day Memorial Hospital | Family Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-05-25 |
1003803495 | Alice Peck Day Memorial Hospital | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2005-09-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ALICE PECK DAY MEMORIAL HOSPITAL | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
Street Address |
106 HANOVER ST |
City | LEBANON |
State | NH |
Zip Code | 03766-1042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801890629 | Harold J Pikus | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2005-06-09 |
1801190673 | Kristin Jean Scott | Physician Assistant | 106 Hanover St, Lebanon, NH 03766-1008 | 2011-01-07 |
1750562260 | Hulda Bra Magnadottir | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2007-11-27 |
1487732822 | Connecticut Valley Orthopaedics & Sports Medicine, PC | Neuromusculoskeletal Medicine, Sports Medicine | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-11-02 |
1225138712 | Joseph Phillips | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766 | 2006-09-24 |
1043317241 | Diane Drew | Physician Assistant | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
1174620363 | Upper Valley Neurology Neurosurgery,pc | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
1972601094 | Richard Saunders | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-09-20 |
1902850332 | Jennifer H. Judkins | Specialist | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-05-20 |
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 | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437477387 | Naser Jaleel | Neurological Surgery | 1 Medical Centerl Dr, Dartmouth Hitchcock - Neurosurgery, Lebanon, NH 03756-1000 | 2010-05-16 |
1235122359 | Timothy C Ryken | Neurological Surgery | One Medical Center Dr, Neurosurgery, Lebanon, NH 03756-0001 | 2005-08-24 |
1801890629 | Harold J Pikus | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2005-06-09 |
1174814792 | Jennifer Hong | Neurological Surgery | 1 Medical Dr, Lebanon, NH 03756-0001 | 2011-04-29 |
1093970949 | Joshua Paul Aronson | Neurological Surgery | 1 Medical Center Dr, Department of Neurosurgery, Lebanon, NH 03756-1000 | 2008-07-21 |
1750562260 | Hulda Bra Magnadottir | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2007-11-27 |
1225138712 | Joseph Phillips | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766 | 2006-09-24 |
1497858047 | Patricia Quebada Clerkin | Neurological Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-09-07 |
1144322371 | Perry Ball | Neurological Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-09-01 |
1306951421 | David W. Roberts | Neurological Surgery | 1 Medical Center Dr, Dhmc-neurosurgery, Lebanon, NH 03756-1000 | 2006-08-20 |
Find all providers in LEBANON |
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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.