| Alice Peck Day Memorial Hospital | |
|
10 Alice Peck Day Dr Lebanon NH 03766-2647 | |
| (603) 448-3121 | |
| (603) 448-7462 |
| Full Name | Alice Peck Day Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 10 Alice Peck Day Dr, Lebanon, New Hampshire |
| Authorized Official Name and Position | Susan E Mooney (CEO/PRESIDENT) |
| Authorized Official Contact | 6034483121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Peck Day Memorial Hospital 10 Alice Peck Day Dr Lebanon NH 03766-2647 Ph: (603) 448-3121 | Alice Peck Day Memorial Hospital 10 Alice Peck Day Dr Lebanon NH 03766-2647 Ph: (603) 448-3121 |
| NPI Number | 1003803495 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 6103737531 |
|---|---|
| Medicare Enrollment ID | O20040927000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003803495 | NPI | - | NPPES |
| 80300016 | Medicaid | NH | |
| 0009582 | Medicaid | VT | |
| 0300016 | Medicaid | VT | |
| 30002661 | Medicaid | NH |
| Provider Name | Andrew I Forrest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548236482 PECOS PAC ID: 3072415454 Enrollment ID: I20040126000259 |
| Provider Name | Aida Cerundolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265497697 PECOS PAC ID: 9133111297 Enrollment ID: I20040331000421 |
| Provider Name | Sheila L Feyrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013904572 PECOS PAC ID: 5294621629 Enrollment ID: I20040409000257 |
| Provider Name | Sylvie C Rudolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942272612 PECOS PAC ID: 0143215418 Enrollment ID: I20040416000512 |
| Provider Name | Paul Sansone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184795825 PECOS PAC ID: 2769467711 Enrollment ID: I20040623000249 |
| Provider Name | John B Gregory |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952312183 PECOS PAC ID: 9537136056 Enrollment ID: I20040914000993 |
| Provider Name | Deborah A Glazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053300095 PECOS PAC ID: 0042279937 Enrollment ID: I20041006001082 |
| Provider Name | Adam J Sorscher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942241542 PECOS PAC ID: 2466412796 Enrollment ID: I20041012000917 |
| Provider Name | Powen Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912991159 PECOS PAC ID: 1557265006 Enrollment ID: I20041210000062 |
| Provider Name | Annika M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134286198 PECOS PAC ID: 5698725844 Enrollment ID: I20050128000786 |
| Provider Name | Laurie Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275580847 PECOS PAC ID: 5193767580 Enrollment ID: I20050525001051 |
| Provider Name | Leonard M Rudolf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952388712 PECOS PAC ID: 2860437712 Enrollment ID: I20050622000412 |
| Provider Name | Joseph M. Phillips |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225138712 PECOS PAC ID: 7416992987 Enrollment ID: I20050624000458 |
| Provider Name | Gretchen E Twork |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588759872 PECOS PAC ID: 3870529449 Enrollment ID: I20050714000721 |
| Provider Name | Lisa Anne Furmanski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063440063 PECOS PAC ID: 4587653274 Enrollment ID: I20050727000714 |
| Provider Name | Peter A Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932174620 PECOS PAC ID: 0244268464 Enrollment ID: I20050729000344 |
| Provider Name | Michael E Ritondo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215956693 PECOS PAC ID: 1951330877 Enrollment ID: I20050810000789 |
| Provider Name | Eric L Bronstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478770 PECOS PAC ID: 2163455833 Enrollment ID: I20050913001206 |
| Provider Name | Susannah Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780697334 PECOS PAC ID: 6002884319 Enrollment ID: I20051006000242 |
| Provider Name | Donald W Ayres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134229610 PECOS PAC ID: 5991797862 Enrollment ID: I20051014000255 |
| Provider Name | Christoph T Mazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265429799 PECOS PAC ID: 8022034602 Enrollment ID: I20051022000194 |
| Provider Name | William Bihrle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437168770 PECOS PAC ID: 5597799866 Enrollment ID: I20051108000055 |
| Provider Name | Brian P Lombardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750377768 PECOS PAC ID: 2466470299 Enrollment ID: I20051109001009 |
| Provider Name | Kathryn Vargo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508831207 PECOS PAC ID: 5698796555 Enrollment ID: I20051207000940 |
| Provider Name | Harley P Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619922010 PECOS PAC ID: 3375564230 Enrollment ID: I20051207000969 |
| Provider Name | Jonathan D Lurie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912093121 PECOS PAC ID: 7810919792 Enrollment ID: I20051220000301 |
| Provider Name | Reed Brozen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205930369 PECOS PAC ID: 2466474358 Enrollment ID: I20051220000387 |
| Provider Name | Dale C Vidal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639198138 PECOS PAC ID: 5496777278 Enrollment ID: I20051221000183 |
| Provider Name | Susan E Mooney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740276757 PECOS PAC ID: 9032132642 Enrollment ID: I20060110000636 |
| Provider Name | Andrew J Bauman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689778110 PECOS PAC ID: 5193730299 Enrollment ID: I20060210000272 |
| Provider Name | Margaret D Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366438376 PECOS PAC ID: 2062427800 Enrollment ID: I20060215000157 |
| Provider Name | Sarah G Johansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073546586 PECOS PAC ID: 4789690678 Enrollment ID: I20060302000032 |
| Provider Name | Elizabeth Ann Gormley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457465189 PECOS PAC ID: 1850308461 Enrollment ID: I20060307000430 |
| Provider Name | Ivan M Tomek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710913272 PECOS PAC ID: 8628085404 Enrollment ID: I20060320000618 |
| Provider Name | Suzanne Shipman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013969005 PECOS PAC ID: 4880604636 Enrollment ID: I20060602000136 |
| Provider Name | Sean D Bears |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013968486 PECOS PAC ID: 1355330127 Enrollment ID: I20061004000472 |
| Provider Name | Joan P Zinkawich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770626335 PECOS PAC ID: 7517063910 Enrollment ID: I20070809000099 |
| Provider Name | John F Dick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194831826 PECOS PAC ID: 1052402435 Enrollment ID: I20070814000789 |
| Provider Name | Brian J Krawitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316042666 PECOS PAC ID: 5799878294 Enrollment ID: I20070829000373 |
| Provider Name | Adnan S Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245363761 PECOS PAC ID: 9032202064 Enrollment ID: I20070907000398 |
| Provider Name | Michael Madan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386633477 PECOS PAC ID: 8123061702 Enrollment ID: I20070912000259 |
| Provider Name | Coleman W Dominiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225134521 PECOS PAC ID: 9436246212 Enrollment ID: I20071025000307 |
| Provider Name | Hulda B Magnadottir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750562260 PECOS PAC ID: 3072693415 Enrollment ID: I20080110000313 |
| Provider Name | Sari K Galanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962439596 PECOS PAC ID: 0143303552 Enrollment ID: I20080416000394 |
| Provider Name | Patricia L Lanter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043235906 PECOS PAC ID: 6305917022 Enrollment ID: I20080624000069 |
| Provider Name | John P Houde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528028610 PECOS PAC ID: 0749177483 Enrollment ID: I20080717000080 |
| Provider Name | Vernon M Pais |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952369654 PECOS PAC ID: 6002895364 Enrollment ID: I20080806000415 |
| Provider Name | Todd D Morrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467440750 PECOS PAC ID: 5799850822 Enrollment ID: I20080825000064 |
| Provider Name | Alicia A Schramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982827457 PECOS PAC ID: 0042390023 Enrollment ID: I20090507000080 |
| Provider Name | Sheilla Bachelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528192986 PECOS PAC ID: 3476699737 Enrollment ID: I20090930000459 |
| Provider Name | Lora Mcclintock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477573566 PECOS PAC ID: 3971649989 Enrollment ID: I20091006000093 |
| Provider Name | Adam C Groff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699848358 PECOS PAC ID: 0547307811 Enrollment ID: I20091020000412 |
| Provider Name | Nina K Mccampbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972711679 PECOS PAC ID: 7911065446 Enrollment ID: I20100616000730 |
| Provider Name | Laura M Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255490595 PECOS PAC ID: 3375668783 Enrollment ID: I20100908000865 |
| Provider Name | Virginia L Beggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639190903 PECOS PAC ID: 0941326086 Enrollment ID: I20100927001016 |
| Provider Name | Phillip Collins |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1518946771 PECOS PAC ID: 2163616632 Enrollment ID: I20101028000582 |
| Provider Name | Ryan C Ratts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033245469 PECOS PAC ID: 9537355227 Enrollment ID: I20101119000822 |
| Provider Name | Jonathan T Huntington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356568877 PECOS PAC ID: 6406045772 Enrollment ID: I20110118001150 |
| Provider Name | Kalyan Ghanta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982614632 PECOS PAC ID: 6608871959 Enrollment ID: I20110304000818 |
| Provider Name | Elisabeth S Souther |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013170141 PECOS PAC ID: 8426195827 Enrollment ID: I20110914000038 |
| Provider Name | Elias E Loukas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003032574 PECOS PAC ID: 9133290125 Enrollment ID: I20111012000720 |
| Provider Name | Kenneth W Rudd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609029420 PECOS PAC ID: 1153235148 Enrollment ID: I20120911000590 |
| Provider Name | Elias Hyams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609047307 PECOS PAC ID: 6507998440 Enrollment ID: I20120924000529 |
| Provider Name | Randall D Lea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588612063 PECOS PAC ID: 4789603085 Enrollment ID: I20130117000458 |
| Provider Name | Chandrasekhar R Padmaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497954424 PECOS PAC ID: 0244323806 Enrollment ID: I20130808000055 |
| Provider Name | Rebecca H Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255574463 PECOS PAC ID: 6507000627 Enrollment ID: I20130911000518 |
| Provider Name | Rebecca A Swenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861668675 PECOS PAC ID: 0749333201 Enrollment ID: I20130923000109 |
| Provider Name | Alison Pr Kapadia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427234145 PECOS PAC ID: 4587810551 Enrollment ID: I20131107001071 |
| Provider Name | Harold Pikus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801890629 PECOS PAC ID: 1254393457 Enrollment ID: I20140609000523 |
| Provider Name | Sarah Elizabeth Billmeier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205998994 PECOS PAC ID: 2961640420 Enrollment ID: I20140808001785 |
| Provider Name | Diane C Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568458123 PECOS PAC ID: 9931260106 Enrollment ID: I20140820001724 |
| Provider Name | Erin Mcneely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750673075 PECOS PAC ID: 5597983262 Enrollment ID: I20140822000558 |
| Provider Name | Srinivas J Ivatury |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1003098237 PECOS PAC ID: 0244459956 Enrollment ID: I20140911000916 |
| Provider Name | John M Ajamie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689637399 PECOS PAC ID: 0244286664 Enrollment ID: I20141027001437 |
| Provider Name | Remy Bacaicoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006371 PECOS PAC ID: 2769622331 Enrollment ID: I20141119000645 |
| Provider Name | Nichole Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975650 PECOS PAC ID: 5395068704 Enrollment ID: I20141216000522 |
| Provider Name | Rima Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588816367 PECOS PAC ID: 4587858519 Enrollment ID: I20150211000062 |
| Provider Name | Jose Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174838924 PECOS PAC ID: 5193919124 Enrollment ID: I20150211001616 |
| Provider Name | Praveen K Ponnamreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295752160 PECOS PAC ID: 8426055575 Enrollment ID: I20150316000106 |
| Provider Name | Mary M Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932503281 PECOS PAC ID: 6103147228 Enrollment ID: I20150602000206 |
| Provider Name | Gurbakhshish Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063732121 PECOS PAC ID: 3870716087 Enrollment ID: I20150713000193 |
| Provider Name | Peter Michael Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457610784 PECOS PAC ID: 2365750239 Enrollment ID: I20150928000949 |
| Provider Name | Joanne B Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033114921 PECOS PAC ID: 4082694419 Enrollment ID: I20151113001179 |
| Provider Name | Emily E Maclaury |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467899856 PECOS PAC ID: 8224262654 Enrollment ID: I20151117000009 |
| Provider Name | Robert K Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801097357 PECOS PAC ID: 7810034998 Enrollment ID: I20151125000810 |
| Provider Name | Marshall J Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609219435 PECOS PAC ID: 7113210626 Enrollment ID: I20160812001209 |
| Provider Name | Anne Oconnor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235459561 PECOS PAC ID: 8426286667 Enrollment ID: I20160817000971 |
| Provider Name | Harman Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265752570 PECOS PAC ID: 8628376761 Enrollment ID: I20160923001871 |
| Provider Name | Stacy A Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376765719 PECOS PAC ID: 7113172487 Enrollment ID: I20161003001929 |
| Provider Name | Richard P Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841582541 PECOS PAC ID: 5890910012 Enrollment ID: I20161019002022 |
| Provider Name | Emily E Sieglinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598208621 PECOS PAC ID: 4183906647 Enrollment ID: I20170119000131 |
| Provider Name | David M Haughey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569375 PECOS PAC ID: 4082912563 Enrollment ID: I20170711002416 |
| Provider Name | Nancy J Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629195961 PECOS PAC ID: 8921235151 Enrollment ID: I20170713001071 |
| Provider Name | Timothy J Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750607131 PECOS PAC ID: 5496052631 Enrollment ID: I20170810000465 |
| Provider Name | Matthew Z Wilson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1528293347 PECOS PAC ID: 3274773015 Enrollment ID: I20170929000211 |
| Provider Name | Nayla Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508272923 PECOS PAC ID: 6800116708 Enrollment ID: I20171010001267 |
| Provider Name | Fredrik H B Amell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679976294 PECOS PAC ID: 5991071672 Enrollment ID: I20171024003559 |
| Provider Name | Matthew R Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336551076 PECOS PAC ID: 0042437790 Enrollment ID: I20171027000166 |
| Provider Name | Richard Kenwyn Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124415807 PECOS PAC ID: 8820376783 Enrollment ID: I20180720000407 |
| Provider Name | Ashley Y Takahashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952780439 PECOS PAC ID: 3577878990 Enrollment ID: I20180906000709 |
| Provider Name | Nicholas J Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295022473 PECOS PAC ID: 1456576198 Enrollment ID: I20190102002054 |
| Provider Name | Samuel J Ogden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073990669 PECOS PAC ID: 6305126053 Enrollment ID: I20190226002422 |
| Provider Name | Alexa Ruppert Holleran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692850 PECOS PAC ID: 6507107166 Enrollment ID: I20190408002400 |
| Provider Name | John T Moeller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942697719 PECOS PAC ID: 3173836418 Enrollment ID: I20190718002342 |
| Provider Name | Sean X Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710332390 PECOS PAC ID: 6709116254 Enrollment ID: I20190925002585 |
| Provider Name | Anne M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578657052 PECOS PAC ID: 2365664083 Enrollment ID: I20191001000582 |
| Provider Name | Howard Leung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902225121 PECOS PAC ID: 4981940509 Enrollment ID: I20191011001332 |
| Provider Name | Abhijit Singh Saggu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033598750 PECOS PAC ID: 5395034490 Enrollment ID: I20191213001704 |
| Provider Name | Jennifer V Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144473927 PECOS PAC ID: 2860543493 Enrollment ID: I20191220001129 |
| Provider Name | Peter M Loescher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528063401 PECOS PAC ID: 0042282246 Enrollment ID: I20200130001622 |
| Provider Name | Arthur J Kehas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952741811 PECOS PAC ID: 0648561647 Enrollment ID: I20200408001594 |
| Provider Name | Roanna Ayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740679836 PECOS PAC ID: 9032434014 Enrollment ID: I20200518002877 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760878912 PECOS PAC ID: 5890088280 Enrollment ID: I20200520002104 |
| Provider Name | Cynthia M Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548750672 PECOS PAC ID: 5395076517 Enrollment ID: I20200529000825 |
| Provider Name | Johndavid Mazich Storn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710418397 PECOS PAC ID: 0244501732 Enrollment ID: I20200529001655 |
| Provider Name | Viraj Ravindra Bhise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861923401 PECOS PAC ID: 3779907159 Enrollment ID: I20200717001340 |
| Provider Name | Shane M Greene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639526619 PECOS PAC ID: 4183919368 Enrollment ID: I20200722001413 |
| Provider Name | Susan S Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013448349 PECOS PAC ID: 8325464076 Enrollment ID: I20200812002665 |
| Provider Name | Kyle H James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275065591 PECOS PAC ID: 5193096923 Enrollment ID: I20200827001417 |
| Provider Name | Jennifer M Eldor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821355488 PECOS PAC ID: 6406157437 Enrollment ID: I20200925000376 |
| Provider Name | Suphagaphan Ratanamaneechat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760727382 PECOS PAC ID: 4587960901 Enrollment ID: I20201022000712 |
| Provider Name | Anna E Ringwelski-hannan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851583868 PECOS PAC ID: 5092986695 Enrollment ID: I20201030002429 |
| Provider Name | Rameez A Qudsi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952695942 PECOS PAC ID: 7315104767 Enrollment ID: I20201118001008 |
| Provider Name | Cassandra M Godzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013370436 PECOS PAC ID: 5496028748 Enrollment ID: I20201229001753 |
| Provider Name | Andrew D Perron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447345996 PECOS PAC ID: 1557371226 Enrollment ID: I20210122000989 |
| Provider Name | Alison G Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982047957 PECOS PAC ID: 8123323060 Enrollment ID: I20210219000562 |
| Provider Name | Shankar S Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659679322 PECOS PAC ID: 3971751710 Enrollment ID: I20210316002352 |
| Provider Name | Melanie R Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285760611 PECOS PAC ID: 8325172562 Enrollment ID: I20210326000593 |
| Provider Name | Richard W Trierweiler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316268980 PECOS PAC ID: 6507008802 Enrollment ID: I20210407002514 |
| Provider Name | Steven L Bernstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558431726 PECOS PAC ID: 1254234040 Enrollment ID: I20210421001640 |
| Provider Name | Andrew J Thomson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922503606 PECOS PAC ID: 7810244100 Enrollment ID: I20210511001055 |
| Provider Name | Jon J Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073044384 PECOS PAC ID: 4082988415 Enrollment ID: I20210519000337 |
| Provider Name | Muhammad Khurram Guhjjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962854307 PECOS PAC ID: 0446659601 Enrollment ID: I20210520002705 |
| Provider Name | Elizabeth A Mann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538459367 PECOS PAC ID: 6901185669 Enrollment ID: I20210609002703 |
| Provider Name | Sherry L Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548765233 PECOS PAC ID: 3274880562 Enrollment ID: I20210611000130 |
| Provider Name | Kerin Vadnais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336722131 PECOS PAC ID: 5799185500 Enrollment ID: I20210616001558 |
| Provider Name | Muhammad Etiwy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194219477 PECOS PAC ID: 6204238280 Enrollment ID: I20210713003473 |
| Provider Name | Yuan Qiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184001703 PECOS PAC ID: 7810293305 Enrollment ID: I20210726000995 |
| Provider Name | Elizabeth Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083146708 PECOS PAC ID: 8022449768 Enrollment ID: I20210813002201 |
| Provider Name | Jared R Colvert |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861804809 PECOS PAC ID: 2163723792 Enrollment ID: I20210819002438 |
| Provider Name | James Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447614391 PECOS PAC ID: 9638443922 Enrollment ID: I20210825002414 |
| Provider Name | Sage E Gale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669977435 PECOS PAC ID: 6901153162 Enrollment ID: I20210826001621 |
| Provider Name | Anna P Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558036517 PECOS PAC ID: 1052717386 Enrollment ID: I20210910002020 |
| Provider Name | Nathaniel E Harlow |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477700771 PECOS PAC ID: 1759405426 Enrollment ID: I20210917001333 |
| Provider Name | Elaine P Kuhn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740786730 PECOS PAC ID: 0941557359 Enrollment ID: I20210917002897 |
| Provider Name | Sarah J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164879243 PECOS PAC ID: 4486051869 Enrollment ID: I20210928001493 |
| Provider Name | Alicia T Dagrosa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336671510 PECOS PAC ID: 3870865074 Enrollment ID: I20210928002449 |
| Provider Name | Hannah L Duane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780189134 PECOS PAC ID: 1557618949 Enrollment ID: I20211026002919 |
| Provider Name | Leah Lascala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013405554 PECOS PAC ID: 4486907854 Enrollment ID: I20211116002785 |
| Provider Name | Kathleen J Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710086 PECOS PAC ID: 1557751195 Enrollment ID: I20211214000995 |
| Provider Name | Eden Vinyarszky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588177141 PECOS PAC ID: 5092073684 Enrollment ID: I20220127002463 |
| Provider Name | Paul R Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275712390 PECOS PAC ID: 5092865246 Enrollment ID: I20220202000891 |
| Provider Name | Jessica A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689227365 PECOS PAC ID: 8527399351 Enrollment ID: I20220302001265 |
| Provider Name | Catherine L Mueller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033596762 PECOS PAC ID: 8426318007 Enrollment ID: I20220318000861 |
| Provider Name | Tracy B Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740806793 PECOS PAC ID: 7113324583 Enrollment ID: I20220505001820 |
| Provider Name | Diana M Kent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154429389 PECOS PAC ID: 0446291132 Enrollment ID: I20220608003261 |
| Provider Name | Kyle Rattray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730568114 PECOS PAC ID: 8527332451 Enrollment ID: I20220622000208 |
| Provider Name | Eduardo Andres Calagua Bedoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831610625 PECOS PAC ID: 9931447257 Enrollment ID: I20220629002397 |
| Provider Name | William A Galvin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366890279 PECOS PAC ID: 6709171283 Enrollment ID: I20220701001008 |
| Provider Name | Timothy R O'dowd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598260465 PECOS PAC ID: 3870840846 Enrollment ID: I20220712000639 |
| Provider Name | Adrian M Ivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437611951 PECOS PAC ID: 1557693587 Enrollment ID: I20220714003569 |
| Provider Name | Wesley Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023578309 PECOS PAC ID: 2668707688 Enrollment ID: I20220726000733 |
| Provider Name | Bradley Sprenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376103689 PECOS PAC ID: 6204218159 Enrollment ID: I20220809001922 |
| Provider Name | Shea Kent Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407388747 PECOS PAC ID: 0648653808 Enrollment ID: I20220820000346 |
| Provider Name | Arshi Parvez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902460306 PECOS PAC ID: 0547666158 Enrollment ID: I20220822000221 |
| Provider Name | Emily Ann Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396940581 PECOS PAC ID: 7012195126 Enrollment ID: I20220831001455 |
| Provider Name | Eden Naomi Katz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346971041 PECOS PAC ID: 2860876299 Enrollment ID: I20220901003047 |
| Provider Name | Nicole Marie Calvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811610322 PECOS PAC ID: 0547637670 Enrollment ID: I20221102003202 |
| Provider Name | Joseph Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174254700 PECOS PAC ID: 0648641829 Enrollment ID: I20230126000697 |
| Provider Name | Lauryn Taylor Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013523786 PECOS PAC ID: 4284099656 Enrollment ID: I20230509000247 |
| Provider Name | Evan Michael Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851969380 PECOS PAC ID: 7517368293 Enrollment ID: I20230516000090 |
| Provider Name | Sadie Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033785183 PECOS PAC ID: 7012374044 Enrollment ID: I20230607001782 |
| Provider Name | Ryan Barton Gerecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356667091 PECOS PAC ID: 2264670926 Enrollment ID: I20230609001014 |
| Provider Name | Josin S Kalathil |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477088482 PECOS PAC ID: 1153690821 Enrollment ID: I20230707002050 |
| Provider Name | Milan Radovanovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508227018 PECOS PAC ID: 5698003101 Enrollment ID: I20230707002635 |
| Provider Name | Regina Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366054637 PECOS PAC ID: 6002236742 Enrollment ID: I20230718000669 |
| Provider Name | Caleb J Yelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760010664 PECOS PAC ID: 0345665311 Enrollment ID: I20230718002756 |
| Provider Name | Victoria Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336432434 PECOS PAC ID: 1355567801 Enrollment ID: I20230725001512 |
| Provider Name | Ashley Wildman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225667157 PECOS PAC ID: 5698192185 Enrollment ID: I20230725003166 |
| Provider Name | Patrick J. Mcguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164041661 PECOS PAC ID: 8022431220 Enrollment ID: I20230808003869 |
| Provider Name | Jocelyn Rinne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104324276 PECOS PAC ID: 1850653403 Enrollment ID: I20230809001238 |
| Provider Name | Benjamin J Seifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649807850 PECOS PAC ID: 8022433010 Enrollment ID: I20230811000316 |
| Provider Name | Julie Ruth Voydik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780211847 PECOS PAC ID: 4284051244 Enrollment ID: I20230918003685 |
| Provider Name | Jack Edward Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306406863 PECOS PAC ID: 7012339559 Enrollment ID: I20230922001122 |
| Provider Name | Amy Y Yue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447887542 PECOS PAC ID: 4981029972 Enrollment ID: I20231023001030 |
| Provider Name | Lindsey Ann Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831970136 PECOS PAC ID: 6305298308 Enrollment ID: I20240116000475 |
| Provider Name | Lindsay Pullen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700561057 PECOS PAC ID: 6800258559 Enrollment ID: I20240123001854 |
| Provider Name | Christina Renee Harlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457791139 PECOS PAC ID: 7416199039 Enrollment ID: I20240205000427 |
Hannah House, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Abbott St, Lebanon, NH 03766 Phone: 603-448-5339 Fax: 603-448-5398 | |
West Central Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9 Hanover Street, Suite 2, Lebanon, NH 03766 Phone: 603-448-0126 Fax: 603-448-6001 | |
Dartmouth Hitchcock Psychiatry Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-6176 | |
Headrest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Church St, Lebanon, NH 03766 Phone: 603-448-4872 Fax: 603-448-1829 | |
Mill Brook Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 W Park St, Lebanon, NH 03766 Phone: 802-243-0215 | |
Northern Trails Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 W Park St Ste 203, Lebanon, NH 03766 Phone: 603-724-1377 |