DR. MARK JON QUITADAMO (NPI# 1891731022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891731022 |
| Entity Type | Individual |
| Full Name | DR. MARK JON QUITADAMO |
| Credential | MD |
| Practice Address |
100 Hitchcock Way Manchester NH 03104-4125 |
| Practice Telephone | 6036952500 |
| Mailing Telephone | 6036952500 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 8595 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30004810 | 05 |
| Street Address |
100 HITCHCOCK WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268368 | Anthony H Repucci | Pediatrics | 100 Hitchcock Way, Dartmouth Hitchcock - Pediatric Gastroenterology, Manchester, NH 03104-4125 | 2005-10-06 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1609407063 | Ashley Marie Hardy | Dietitian, Registered | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-02-03 |
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1003477613 | Stephanie M Winn | Nurse Practitioner | 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 | 2019-06-25 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1134681711 | Tonya M Binder | Nurse Practitioner | 100 Hitchcock Way, Dartmouth Hitchcock - Gastroenterology, Manchester, NH 03104-4125 | 2019-04-03 |
| 1740745926 | Laura J Vanbrocklin | Nurse Practitioner | 100 Hitchcock Way, Cardiology, Manchester, NH 03104 | 2019-02-01 |
| 1538633599 | Debra A Hansen | Social Worker | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-01-14 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972524437 | John Andrew Watson | Dermatology | 87 Mcgregor St Ste 2100, Manchester, NH 03102-3767 | 2006-07-21 |
| 1154794261 | Ap Derm New Hampshire PC | Dermatology | 87 Mcgregor St, Suite 2100, Manchester, NH 03102-3765 | 2015-11-11 |
| 1750729307 | Jillian F Rork | Dermatology | 100 Hitchcock Way, Dermatology, Manchester, NH 03104 | 2013-06-05 |
| 1912255118 | Elliot Professional Services | Dermatology | 185 Queen City Ave, Elliot Dermatology, Manchester, NH 03101-7121 | 2012-08-17 |
| 1508153313 | Sarit J Itenberg | Dermatology | 185 Queen City Ave, Elliot Dermatology, Manchester, NH 03101-7121 | 2011-06-30 |
| 1467688903 | Herbert Cheuhui Chiang | Dermatology | 185 Queen City Ave, Manchester, NH 03101-7121 | 2009-06-10 |
| 1912115676 | Fw Danby, Md & Lj Margesson, Md, Pa | Dermatology | 721 Chestnut St, Manchester, NH 03104-3002 | 2007-05-18 |
| 1881794493 | Hamad Alabdulrazzaq | Dermatology | 87 Mcgregor St, Suite 2100, Manchester, NH 03102-3765 | 2006-09-24 |
| 1720014954 | Daniel B Stewart | Dermatology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-22 |
| 1336180090 | Robert John Willer | Dermatology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.