DR. MALLORY STEPHENS (NPI# 1720423106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720423106 |
| Entity Type | Individual |
| Full Name | DR. MALLORY STEPHENS |
| Credential | M.D. |
| Practice Address |
6 Overlook Dr Wolfeboro NH 03894-4842 |
| Mailing Address |
6 Overlook Drive Wolfeboro NH 03894 |
| Practice Telephone | 6035696244 |
| Mailing Telephone | 6035696244 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2017-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
60-077349 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENSE NO. | 60-077349 | 01 |
| Street Address |
6 OVERLOOK DR |
| City | WOLFEBORO |
| State | NH |
| Zip Code | 03894-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803047 | Ccm Chiropractic Pllc | Chiropractor | 29 Mill Street Unit C4, Wolfeboro, NH 03894 | 2015-02-11 |
| 1821303777 | Charles Ellingwood Simpson | Dentist | 12 Varney Rd, Wolfeboro, NH 03894 | 2010-08-16 |
| 1932428489 | Nancy Marineau | Pharmacist | 50 South Main St, Wolfeboro, NH 03894 | 2010-05-24 |
| 1205154556 | Sarah Connelly | Pharmacist | 50 South Main St., Wolfeboro, NH 03894 | 2010-05-12 |
| 1841408457 | Richard J. Neal Jr., D.m.d. P.C. | Dentist | 190 South Main Street, Wolfeboro, NH 03894 | 2007-05-18 |
| 1114134426 | Silva Family Dentistry | Dentist | 16 Lehner Street, Wolfeboro, NH 03894 | 2007-05-17 |
| 1659593846 | Beth Marcoux | Physical Therapist | 104 Old Keewaydin Point Rd, Suite Box 1714, Wolfeboro, NH 03894 | 2007-05-03 |
| 1174644215 | Kristi Gowell Roark | Social Worker | 10 Endicot Street, Wolfeboro, NH 03894 | 2007-04-03 |
| 1285752758 | Kathleen D. Dotter | Social Worker | 84 Baystreet, Wolfeboro, NH 03894 | 2007-03-26 |
| 1922138452 | David Marsh Mccarthy | Chiropractor | 29 Mill Street, Suite C4 C5, Wolfeboro, NH 03894 | 2007-03-06 |
| Find all providers in zip 03894 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639390776 | Todd David Daugherty | Internal Medicine | 168 Maple Street, Henniker, NH 03242 | 2007-05-02 |
| 1508952243 | Kalyani P Govindaraju | Internal Medicine | 10 Prospect St Ste 201, Nashua Rheumatology, Nashua, NH 03060-3922 | 2006-10-04 |
| 1609836766 | James Matthew Trice | Internal Medicine | 4 Ridgewood Ln, Concord, NH 03301-3035 | 2006-03-24 |
| 1689661498 | John M Shearman | Internal Medicine | 278 Lafayette Rd, Portsmouth, NH 03801-5455 | 2005-10-06 |
| 1871132019 | American Arthritis & Rheumatology Associates -nh Pllc | Internal Medicine | 168 Maple Street, Henniker, NH 03242 | 2020-01-06 |
| 1962047530 | New England Rheumatology and Osteoporosis | Internal Medicine | 168 Maple Street, Henniker, NH 03242 | 2019-11-07 |
| 1831585710 | Matthew J White | Internal Medicine | One Medical Center Dr, Lebanon, NH 03756-0001 | 2015-04-08 |
| 1588008452 | Rui Zhang | Internal Medicine | 17 Prospect St Ste N202, Nashua, NH 03060-3964 | 2013-04-23 |
| 1598042798 | Elliot Professional Services | Internal Medicine | 185 Queen City Ave, Elliot Rheumatology Associates, Manchester, NH 03101-7121 | 2011-11-16 |
| 1003104910 | Yixia Ye | Internal Medicine | 168 Kinsley St, Nashua, NH 03060-3634 | 2011-07-12 |
| 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.