DR. BEVERLY J ENTWISLE (NPI# 1700889169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700889169 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY J ENTWISLE |
| Credential | M.D. |
| Practice Address |
250 Pleasant Street Yeaple Building Concord NH 03301 |
| Practice Telephone | 6032287200 |
| Practice Fax Number | 6032287307 |
| Mailing Telephone | 6032287200 |
| Mailing Fax Number | 6032287307 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
7945 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | MVP ID# | 371528 | 01 |
| NH | AETNA ID# | 3016717 | 01 |
| NH | HARVARD PILGRIM ID# | E14790 | 01 |
| NH | CIGNA ID# | 25526 | 01 |
| NH | 30002613 | 05 | |
| NH | TRICARE ID# | H005016 | 01 |
| Street Address |
250 PLEASANT STREET YEAPLE BUILDING |
| City | CONCORD |
| State | NH |
| Zip Code | 03301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415412 | David C. Conway | Obstetrics & Gynecology | 250 Pleasant Street, Yeaple Building, Concord, NH 03301 | 2005-05-31 |
| 1669866141 | Matthew Causland Ruppel | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2015-03-24 |
| 1821432956 | Anik L Cote | Physician Assistant | 250 Pleasant Street, Emergency Department, Concord, NH 03301-7539 | 2013-04-19 |
| 1396030391 | Elizabeth J Hoffman | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2011-06-17 |
| 1003074832 | Ashley Ann Fox | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2008-05-29 |
| 1134340391 | Shannon Elizabeth Rosenberg | Physical Therapy Assistant | 250 Pleasant Street, Concord, NH 03301 | 2007-05-02 |
| 1740363407 | Anne Marcia Banach | Physician Assistant | 250 Pleasant Street, Emergency Department, Concord, NH 03301 | 2006-10-23 |
| 1497846885 | Jane L Burke | Emergency Medicine | 250 Pleasant Street, Emergency Department, Concord, NH 03301-7539 | 2006-09-28 |
| 1922022540 | Jeanna H Walsh | Internal Medicine | 250 Pleasant Street, New Hampshire Oncology Hematology Pa, Concord, NH 03301 | 2006-07-27 |
| 1427092329 | Geoffrey M Fitzgerald | Emergency Medicine | 250 Pleasant Street, Emergency Department, Concord, NH 03301-7539 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| 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. |
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|---|---|---|---|---|
| 1457788812 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 319 Penny Ln, Suite B, Concord, NC 28025-1221 | 2013-10-01 |
| 1730319633 | Lyn Singer Lindpaintner | Internal Medicine | 248 Pleasant St, Suite 2800, Concord, NH 03301-2588 | 2009-07-27 |
| 1578709325 | Carolinas Medical Center-northeast | Internal Medicine | 319 Penny Ln, Suite B, Concord, NC 28025-1221 | 2008-12-29 |
| 1386867422 | Daniel Cremin | Internal Medicine | 3052 Willow Pass Rd, Concord, CA 94519-7600 | 2007-04-10 |
| 1245346162 | Lilian R Mikael | Internal Medicine | 747 Main St, Suite 201, Concord, MA 01742-3302 | 2006-08-22 |
| 1871527382 | Sherry F Yudell | Internal Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2006-07-10 |
| 1780669655 | Karen M Bryant | Internal Medicine | 250 Pleasant St, Concord, NH 03301-7539 | 2005-12-13 |
| 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 |
| 1245597442 | Rebecca Scott Crow | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Geriatrics, Lebanon, NH 03756-1000 | 2012-04-12 |
| 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.