MANCHESTER UROLOGY ASSOCIATES, PA (NPI# 1871886291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871886291 |
| Entity Type | Organization |
| Organization Name | MANCHESTER UROLOGY ASSOCIATES, PA |
| Practice Address |
4 Elliot Way Suite 200 Manchester NH 03103-3547 |
| Practice Telephone | 6036699200 |
| Mailing Telephone | 6036699200 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | MR. STEVEN MACMULLIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6036699200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0827 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154577690 | Manchester Urology Associates, Pa | Urology | 789 Central Ave, Dover, NH 03820-2526 | 2008-08-15 |
| Street Address |
4 ELLIOT WAY SUITE 200 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771838 | Mary Elizabeth Fitzpatrick | Nurse Practitioner | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2005-12-21 |
| 1225432347 | Patty M Dumont | Nurse Practitioner | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2014-10-17 |
| 1215204045 | Lauren T Flood | Physician Assistant | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2011-11-22 |
| 1790075786 | Hoertdoerfer Dentistry, Pllc | Dentist | 4 Elliot Way, Suite 306, Manchester, NH 03103-3547 | 2011-04-12 |
| 1699091546 | Trisha Juliano Kammann | Urology | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2010-04-18 |
| 1821246976 | Elliot Professional Services | Surgery | 4 Elliot Way, Suite 201, Manchester, NH 03103-3547 | 2008-09-03 |
| 1619130820 | Marcio Jablonka | Internal Medicine | 4 Elliot Way, Manchester, NH 03103-3547 | 2008-07-08 |
| 1861687808 | Connelly Dentistry PC | Dentist | 4 Elliot Way, Suite 306, Manchester, NH 03103 | 2007-09-12 |
| 1043427438 | Samuel T Snipes | Urology | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2007-05-17 |
| 1891908158 | William P Dobbin, D.m.d.,p.a. | Dentist | 4 Elliot Way, Suite 300, Manchester, NH 03103-3547 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729487 | Kelsey Wood | Physician Assistant | 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 | 2015-05-08 |
| 1841626678 | Evan Patrick Dyer | Physician Assistant | 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 | 2013-09-25 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1932351673 | Michael Anthony Ascenzia | Physician Assistant | 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 | 2008-10-14 |
| 1780747519 | Wendy Brown Jorgensen | Physician Assistant | 1053 Western Avenue, Manchester, ME 04351 | 2006-12-19 |
| 1770694945 | Briana Marie Peterson | Physician Assistant | 574 E Middle Tpke, Manchester, CT 06040-3730 | 2006-08-31 |
| 1245249010 | Holly Pelletier | Physician Assistant | 57 Webster St Ste 110, Manchester, NH 03104-2552 | 2006-08-07 |
| 1558396192 | Nancy E. Kalinski | Physician Assistant | 102 Bay St, Manchester, NH 03104-3008 | 2006-07-12 |
| 1790787323 | Paul Barlow | Physician Assistant | 1 Highlander Way Ste 4, Manchester, NH 03103-7404 | 2005-08-12 |
| 1669030177 | Alexis Deitz | Physician Assistant | 574 Middle Tpke E, Manchester, CT 06040-3730 | 2019-05-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.