Michel J Rondon Vidal (NPI# 1447416128, PAC ID# 7618036237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1447416128 |
| PAC ID by PECOS | 7618036237 |
| Professional Enrollment ID | I20081111000318 |
| Full Name | Michel J Rondon Vidal |
| Organization Legal Name | ISLAND CITY PSYCH SERVICES LLC |
| Address |
333 Borthwick Ave Portsmouth NH 03801-7128 |
| Phone Number | 6034365110 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 6901023795 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| 200020 | YORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-7110 | 6032944424 | FURTHER CARE PA |
| 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 6034365110 | ISLAND CITY PSYCH SERVICES LLC |
| 2 Victoria Ct, York, ME 03909-1455 | 6032944424 | FURTHER CARE PA |
| Organization Legal Name | ISLAND CITY PSYCH SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn M Kirby | Psychiatry | Island City Psych Services LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Linda G Funderburg | Psychiatry | Island City Psych Services LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Matthew J Davis | Psychiatry | Island City Psych Services LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Street Address |
333 BORTHWICK AVE |
| City | PORTSMOUTH |
| State | NH |
| Zip | 03801-7128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Lewis | General Surgery | Friendship City Acute Trauma LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| John P Gens | General Surgery | 333 Borthwick Ave, Suite 305, Portsmouth, NH 03801-7128 | |
| Marie A Arringdale | Emergency Medicine | Borthwick Emergency Physicians LLC | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Rachael L Sargent | Nurse Practitioner | Intensive Care Consortium Inc | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Olivera J Quitkin | Anesthesiology | Portsmouth Anesthesia Associates Pa | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Kimberly Dedeus | Physician Assistant | The Knee Hip and Shoulder Center | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Bojen R Chiou | Emergency Medicine | Borthwick Emergency Physicians LLC | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Amanda N Cummings | Physician Assistant | Friendship City Acute Trauma LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Peter L Row | Emergency Medicine | Borthwick Emergency Physicians LLC | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Jamshaid Akram | Internal Medicine | Purple Finch Inpatient Services, LLC | 333 Borthwick Ave, Portsmouth, NH 03801-7128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Detolla | Maxillofacial Surgery | 200 Griffin Park Rd, Suite 8, Portsmouth, NH 03801 | |
| Kristina Zorger | Psychologist, Clinical | 30 Mirona Rd Extension, Portsmouth, NH 03801 | |
| Deeptha Sastry | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Mark A Chag | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Patricia M Yauch | Nurse Practitioner | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Emily Jerszyk Amarosa | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Wendy A Mclaughlin | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Sonja N Nelson | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Caroline Scoones | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Heidi Keup | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Find all physicians in zip 03801 | |||
| City | PORTSMOUTH |
| Zip Code | 03801 |
| Specialty | PSYCHIATRY |
| City + Specialty | PORTSMOUTH + PSYCHIATRY |
Please comment or provide details below to improve the information on Michel J Rondon Vidal.
| 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.