KINLEY DANAE BECK (NPI# 1770840365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770840365 |
Entity Type | Individual |
Full Name | KINLEY DANAE BECK |
Credential | M.D. |
Practice Address |
155 Borthwick Ave Ste 200e Portsmouth NH 03801-4184 |
Practice Telephone | 6034361773 |
Practice Fax Number | 6034270655 |
Mailing Telephone | 6034361773 |
Mailing Fax Number | 6034270655 |
Enumeration Date | 2012-04-19 |
Last Update Date | 2020-05-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | R4518 | TX | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 24382 | MS | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | E9764 | AR | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 54082 | TN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10047004 | TX | Student, Health Care |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
19236 | NH | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
E9764 | AR | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
24382 | MS | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
54082 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3118506 | 05 | |
TX | 376236101 | 05 | |
TX | CSHCN | 376236102 | 01 |
TN | Q022120 | 05 | |
AR | 214078001 | 05 | |
MS | 07208203 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
825 Ridge Lake Blvd, Memphis, TN 381209411 | 9016852200 | 9018202342 |
8300 Floyd Curl Dr Fl 6, San Antonio, TX 782293931 | 2104509400 |
Street Address |
155 BORTHWICK AVE STE 200E |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-4184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841720109 | Hilary A Hamer | Optometrist | 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801-4184 | 2017-06-19 |
1083066005 | Renee Theroux Lynch | Optometrist | 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801-4184 | 2016-07-02 |
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 | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
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.