David J Shore (NPI# 1255809877, PAC ID# 6002157617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255809877 |
| PAC ID by PECOS | 6002157617 |
| Professional Enrollment ID | I20190409001457 |
| Full Name | David J Shore |
| Organization Legal Name | JWALANT VADALIA MD PC |
| Address |
138 Webster St Manchester NH 03104-2512 |
| Phone Number | 6036455977 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698666337 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 138 Webster St, Manchester, NH 03104-2512 | 6036455977 | JWALANT VADALIA MD PC |
| Organization Legal Name | JWALANT VADALIA MD PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meagan Etchells Lentz | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Bryan D Fisher | Nurse Practitioner | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Deborah Moser | Nurse Practitioner | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| James Beauregard | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Laura Lynn Ekstrand | Physician Assistant | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Melissa R Bertoulin | Clinical Social Worker | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Betty A Lafleur | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Reinhard Viehoff | Geriatric Psychiatry | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Jwalant K Vadalia | Geriatric Psychiatry | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Catherine D Daniels | Nurse Practitioner | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Street Address |
138 WEBSTER ST |
| City | MANCHESTER |
| State | NH |
| Zip | 03104-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meagan Etchells Lentz | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Bryan D Fisher | Nurse Practitioner | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Samuel J Goldman | Geriatric Medicine | Elliot Physicians Network | 138 Webster St, Manchester, NH 03104-2512 |
| Deborah Moser | Nurse Practitioner | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Lisa C Beaulieu | Nurse Practitioner | Elliot Physicians Network | 138 Webster St, Manchester, NH 03104-2512 |
| Deborah I Moore | Nurse Practitioner | Elliot Physicians Network | 138 Webster St, Manchester, NH 03104-2512 |
| James Beauregard | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Laura Lynn Ekstrand | Physician Assistant | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Melissa R Bertoulin | Clinical Social Worker | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Betty A Lafleur | Psychologist, Clinical | Jwalant Vadalia Md PC | 138 Webster St, Manchester, NH 03104-2512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Jamieson | Psychologist, Clinical | 61 N St, Manchester, NH 03104 | |
| Raphael Farra | Geriatric Medicine | 300 Kearney Circle, Manchester, NH 03104-1816 | |
| Thomas P Downes | Clinical Social Worker | 76 Trenton St, Manchester, NH 03104-2236 | |
| Ahad Fazelat | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| Jason Hall | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| Melissa A Ernst Brenot | Optometry | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| David A Bellows | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| George J Shaker Jr. | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| Amy L Hennessy | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| Sara Bozorg | Ophthalmology | The Medical Eye Center PC | 250 River Rd, Manchester, NH 03104-2423 |
| Find all physicians in zip 03104 | |||
| City | MANCHESTER |
| Zip Code | 03104 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANCHESTER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on David J Shore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.