PORTSMOUTH SURGICAL SPECIALISTS LLC (NPI# 1689280109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689280109 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH SURGICAL SPECIALISTS LLC |
| Practice Address |
333 Borthwick Ave Portsmouth NH 03801-7128 |
| Mailing Address |
13737 Noel Rd Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
333 BORTHWICK AVE |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1841808573 | Sarah Beasley | Nurse Practitioner | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-07-20 |
| 1144844044 | Wesley James Phillips | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801 | 2020-06-05 |
| 1093338055 | Neelam Grewal | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-26 |
| 1124641469 | Parisa Yazdani Kashef | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-21 |
| 1972123693 | Thomas Hamilton Warren | Pharmacist | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-22 |
| 1073132460 | Gregory Carbonella | Internal Medicine | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-15 |
| 1942829767 | William Ciurylo | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-11 |
| 1801415021 | Waleed Ismail | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-09 |
| 1255960522 | Forward Pathology Solutions - New Hampshire, LLC | Pathology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-07 |
| Find all providers in the same location | ||||
| 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 Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164578 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Anesthesiology | 3640 High St Ste 1f, Portsmouth, VA 23707-3213 | 2019-10-07 |
| 1740250844 | Richard P Serianni | Anesthesiology | John Paul Jones Circle, Portsmouth, VA 23708-0001 | 2006-01-23 |
| 1396715413 | Nolan Charles Babcock | Anesthesiology | Dept. Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2006-01-23 |
| 1831179084 | Mark R. Fantauzzi | Anesthesiology | 1219 Findlay St, Portsmouth, OH 45662-3449 | 2006-01-21 |
| 1093792814 | David L Kay | Anesthesiology | 3200 Tyre Neck Rd Ste 101, Portsmouth, VA 23703 | 2005-12-22 |
| 1457347791 | Katrina Brown Briggs | Anesthesiology | 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 2005-09-22 |
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1275999856 | Jason Kopp | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-01-12 |
| 1255750527 | Anthony Steven Bradley Jr. | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-04-15 |
| 1598182693 | Gregory Booth | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-03-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.