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St. Joseph Hospital Endocrinology

St. Joseph Hospital Endocrinology

The St. Joseph Hospital Endocrinology practice specializes in the diagnoses and treatment of complex thyroid disorders and thyroid cancer as well as other endocrine and metabolism disorders.


St. Joseph Hospital Endocrinology is limited to Endocrinology and Metabolism. While the practice only deals with endocrine issues, the total patient is our primary concern, and we pride ourselves on providing personal and friendly care. We are dedicated to fully educating you about your health needs, and strive to be your partner in health.

Endocrine Certification in Neck Ultrasound (ECNU)

​ECNU is a professional certification in the field of neck ultrasonography for physicians who perform consultations and diagnostic evaluations for thyroid and parathyroid disorders through both diagnostic ultrasound and ultrasound-guided fine needle aspiration. The certificate is awarded by the American College of Endocrinology and is approved by the American Institute of Ultrasound Medicine (AIUM). The ECNU credential signifies that an individual has passed the Comprehensive Certification Examination (CCE) and has successfully completed the Validation of Competency Process (VCP). Robert Levine is the only ECNU certified physician in the state of New Hampshire. The certificate process requires documentation of adequate teaching, experience, and demonstration of proficiency in ultrasound and biopsy. Dr. Levine was instrumental in the establishment of the certificate program.

Thyroid Nodules

​​Thyroid nodules, or lumps on the thyroid gland, are a common problem. As many as one in twenty people have a lump that can be felt, and over half of normal people will have a very small lump detectable by ultrasound. Over 95% of all lumps large enough to be felt are benign. Decades ago, it was common practice to remove most lumps. Today, however, needle biopsy can determine which nodules require surgery, and which can be safely monitored. Dr. Levine has performed nearly 5000 needle biopsies in the last twenty five years.

Thyroid Cancer

Thyroid Cancer is one of the few cancers that have shown an increase and not a decline in recent years. Fortunately, most patients with thyroid cancer do very well, with a survival rate exceeding 97%. Good outcomes require proper treatment and monitoring, and the Thyroid Center of New Hampshire provides comprehensive, compassionate care for thyroid cancer. Working closely with skilled local and national surgeons, pathologists and radiation oncologists, the center strives for early detection, quality treatment, and long-term surveillance for recurrence. ​