PORTSMOUTH RADIOLOGICAL, PA (NPI# 1689731572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689731572 |
| Entity Type | Organization |
| Organization Name | PORTSMOUTH RADIOLOGICAL, PA |
| Practice Address |
333 Borthwick Ave Portsmouth NH 03801-7128 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 6034334008 |
| Practice Fax Number | 6034313572 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | DR. DOUGLAS K RHODES (PRESIDENT) |
| Authorized Official Telephone | 6034334008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NH | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30005193 | 05 |
| 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 |
| 1689280109 | Portsmouth Surgical Specialists LLC | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-09-21 |
| 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 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813859 | Amjad Massoud | Radiology | 18 Sheafe St, Portsmouth, NH 03801-3818 | 2015-10-09 |
| 1992775779 | Karen Leigh Matthews | Radiology | Naval Medical Center Portsmouth, Dept. of Radiology, 620 John Paul Jones Circle, Portsmouth, VA 23708-2111 | 2006-01-25 |
| 1316922057 | Katherine Mary Tobin | Radiology | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5584 | 2005-12-14 |
| 1891795696 | Jerald D Hansing | Radiology | 1735 Franklin Blvd, Portsmouth, OH 45662-3106 | 2005-07-22 |
| 1114456266 | Insight-premier Health LLC | Radiology | 100 Griffin Road, Suite C, Portsmouth, NH 03801-7158 | 2017-06-11 |
| 1437515665 | Womens Imaging Center of Portsmouth LLC | Radiology | 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 | 2016-01-04 |
| 1609294289 | Andrew Scott Morris | Radiology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2014-04-01 |
| 1669895769 | Robert Mcclure | Radiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-01-24 |
| 1053748822 | Adam David Evans | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2013-10-10 |
| 1083057178 | Jami Michelle Lyon | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2013-04-09 |
| 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.