MISS DEBORA MATOSSIAN (NPI# 1831347426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831347426 |
| Entity Type | Individual |
| Full Name | MISS DEBORA MATOSSIAN |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Dhmc - Dept of Pediatric Nephrology Lebanon NH 03756-1000 |
| Practice Telephone | 6036539884 |
| Practice Fax Number | 6036500907 |
| Mailing Telephone | 6036539884 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
15670 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL CENTER DR DHMC - DEPT OF PEDIATRIC NEPHROLOGY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473917 | Lynda Lee Lapan | Obstetrics & Gynecology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-10-08 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1275149858 | Makenzie Welch | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-19 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1275145104 | Nicole Faye Hoshiko | Dietitian, Registered | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1609486703 | Melanie Lynn Del Frari | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-04 |
| 1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
| 1932717170 | Sydney Allen | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-14 |
| 1033737143 | Matthew David Thomson | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558640912 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd Ste 1, Elliot Pediatric Nephrology & Integrative Medicine, Manchester, NH 03109-4133 | 2011-08-16 |
| 1093743205 | Matthew M Hand | Pediatrics | 1 Elliot Way, Elliot Hospital - Pediatric Nephrology, Manchester, NH 03103-3502 | 2006-06-28 |
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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.