DR. ROBERT B SANTULLI (NPI# 1952479271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952479271 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B SANTULLI |
| Credential | MD |
| Practice Address |
1 Medical Center Drive Lebanon NH 03756-0001 |
| Practice Telephone | 6036507232 |
| Practice Fax Number | 6036509478 |
| Mailing Telephone | 6036507232 |
| Mailing Fax Number | 6036509478 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
8289 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30003534 | 05 | |
| VT | MEDICAID | 1003031 | 01 |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
| 1639643919 | Michael Patrick Gaffney | Physician Assistant | 1 Medical Center Drive, Dartmouth Hitchcock - Otolaryngology, Lebanon, NH 03756 | 2019-01-19 |
| 1780189134 | Hannah Louise Duane | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc-dept of Internal Medicine, Lebanon, NH 03756-1000 | 2018-03-28 |
| 1295239135 | Erica Katherine Gotow | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756-0001 | 2018-03-23 |
| 1427597012 | Evan C Bick | Psychologist | 1 Medical Center Drive, 5d-psychiatry, Lebanon, NH 03756 | 2017-02-16 |
| 1447614391 | James Harvey Elder Iv | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Emergency Medicine Residency Office, Lebanon, NH 03766 | 2016-04-07 |
| 1669866596 | Elizabeth Schwartz | Psychiatry & Neurology | 1 Medical Center Drive, Psychiatry Department, Lebanon, NH 03756-1000 | 2015-03-28 |
| 1841618899 | Minda A Gowarty | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock - Internal Medicine, Lebanon, NH 03756 | 2014-04-06 |
| 1952747446 | Kerrilynn Carney Hennessey | Internal Medicine | 1 Medical Center Drive, Department of Cardiology, Lebanon, NH 03756 | 2013-05-11 |
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| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194893495 | Thomas Elliot Oxman | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc, Department of Psychiatry, Lebanon, NH 03756-1000 | 2006-12-04 |
| 1518078476 | Andrew Chuing Liang Chi | Psychiatry & Neurology | 1 Medical Center Dr, Dept. of Psychiatry, Lebanon, NH 03756-1000 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226071 | Further Care P A | Psychiatry & Neurology | 330 Borthwick Ave Ste 111, Portsmouth, NH 03801-7110 | 2013-11-25 |
| 1689911059 | John William Knesevich | Psychiatry & Neurology | 27 Farley Rd, Hollis, NH 03049-5916 | 2013-01-05 |
| 1669737805 | Dartmouth Medical School | Psychiatry & Neurology | 33 Rip Rd, Hanover, NH 03755-1616 | 2012-07-12 |
| 1871757666 | Salud Poblete Mendoza | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857 | 2008-07-11 |
| 1902988124 | Sandeep Sobti | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2006-10-19 |
| 1457912065 | Benjamin Fernandes | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3297 | 2019-06-25 |
| 1215425269 | Thrive Psychiatry Pllc | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857-1846 | 2018-04-25 |
| 1952560690 | Namratha Reddy Boda | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2008-06-06 |
| 1770768269 | Memcare, LLC | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2008-01-03 |
| 1114008976 | Susan Reid | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2006-10-18 |
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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.