GARY WAYNE MENDESE (NPI# 1780851386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780851386 |
| Entity Type | Individual |
| Full Name | GARY WAYNE MENDESE |
| Credential | MD |
| Practice Address |
784 Central Ave Dover NH 03820 |
| Mailing Address |
784 Central Ave Dover NH 03820-2549 |
| Practice Telephone | 6037425556 |
| Mailing Telephone | 6037425556 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 240786 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
240786 | MA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
240786 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 Centennial Dr, Peabody, MA 019607901 | 9785250100 | |
| 92 Montvale Ave, Suite 3000, Stoneham, MA 021803647 | 7814386350 |
| Street Address |
784 CENTRAL AVE |
| City | DOVER |
| State | NH |
| Zip Code | 03820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437264892 | Michelle Marie Roy | Physician Assistant | 784 Central Ave, Dover, NH 03820-3412 | 2006-08-19 |
| 1144376997 | Campbell Dermatology Pa | Dermatology | 784 Central Ave, Dover, NH 03820-3412 | 2007-01-26 |
| 1528149556 | Elaine N Bryn | Nurse Practitioner | 784 Central Ave, Dover, NH 03820-3412 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477895076 | Brienne Danielle Cressey | Dermatology | 51 Webb Pl Ste 240, Dover, NH 03820-2454 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376529 | Onspot Exam Corporation | Dermatology | 46 Ammonoosuc Drive, Bartlett, NH 03812 | 2020-04-29 |
| 1215023577 | E William Frank Md Dermatology Associates of S Nh | Dermatology | 76 Allds St, Nashua, NH 03060 | 2006-10-05 |
| 1649361155 | Antoinette Korc | Dermatology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-09-28 |
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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.