| Pmc Medical Group, Llc | |
|
100 Griffin Rd Unit B Portsmouth NH 03801-7158 | |
| (603) 692-3199 | |
| (833) 944-2258 |
| Full Name | Pmc Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 100 Griffin Rd Unit B, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Matthew Hogan (PRESIDENT) |
| Authorized Official Contact | 6032412406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmc Medical Group, Llc 100 Griffin Rd Unit B Portsmouth NH 03801-7158 Ph: (603) 692-3166 | Pmc Medical Group, Llc 100 Griffin Rd Unit B Portsmouth NH 03801-7158 Ph: (603) 692-3199 |
| NPI Number | 1396121240 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 0345545737 |
|---|---|
| Medicare Enrollment ID | O20160223001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396121240 | NPI | - | NPPES |
| 3103270 | Medicaid | NH |
| Provider Name | Jolene Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407831910 PECOS PAC ID: 1658364989 Enrollment ID: I20040405000420 |
| Provider Name | Catherine Coolidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821023045 PECOS PAC ID: 9830161645 Enrollment ID: I20040811001202 |
| Provider Name | Paul K Thorington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982672598 PECOS PAC ID: 3274501101 Enrollment ID: I20040920000333 |
| Provider Name | Boris Golosarsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164408498 PECOS PAC ID: 0840211793 Enrollment ID: I20051207000877 |
| Provider Name | Bertrand P Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184618852 PECOS PAC ID: 5698789022 Enrollment ID: I20060206000451 |
| Provider Name | Kasey E Talon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144509241 PECOS PAC ID: 0547431595 Enrollment ID: I20110922000445 |
| Provider Name | Nita N Grover |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619904901 PECOS PAC ID: 2163473489 Enrollment ID: I20140314000367 |
| Provider Name | Jennifer Christiansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588824072 PECOS PAC ID: 3870765977 Enrollment ID: I20140603000877 |
| Provider Name | Nyla Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639412703 PECOS PAC ID: 2860614583 Enrollment ID: I20141113001557 |
| Provider Name | Joshua A Toll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871767848 PECOS PAC ID: 9234358730 Enrollment ID: I20151106001720 |
| Provider Name | Paige E Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255790127 PECOS PAC ID: 9335435999 Enrollment ID: I20160907002152 |
| Provider Name | Edward Paul Doherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417394131 PECOS PAC ID: 1254603319 Enrollment ID: I20180719002919 |
| Provider Name | Talley Slate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354224 PECOS PAC ID: 4981954872 Enrollment ID: I20180914000868 |
| Provider Name | Brian E Kaufman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619996063 PECOS PAC ID: 9931205101 Enrollment ID: I20190202000219 |
| Provider Name | Rebecca C Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831674647 PECOS PAC ID: 2365781259 Enrollment ID: I20190312001684 |
| Provider Name | Bikramjeet S Dolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417555301 PECOS PAC ID: 4082025127 Enrollment ID: I20201123000658 |
| Provider Name | Ashley Vittum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699366906 PECOS PAC ID: 5698181550 Enrollment ID: I20210302000203 |
| Provider Name | Kimberley Mae Hubley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841404 PECOS PAC ID: 4789061896 Enrollment ID: I20220511000972 |
| Provider Name | Mary Beth Lacoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871236026 PECOS PAC ID: 0941688659 Enrollment ID: I20220609000347 |
| Provider Name | Deborah S Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942661558 PECOS PAC ID: 6709173040 Enrollment ID: I20230707002935 |
| Provider Name | Linda Sancetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194313841 PECOS PAC ID: 5092191163 Enrollment ID: I20231207002715 |
| Provider Name | Mallory Yeaton Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578339164 PECOS PAC ID: 5496105835 Enrollment ID: I20231227000830 |
| Provider Name | Matthew Ebbighausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326801606 PECOS PAC ID: 1951843416 Enrollment ID: I20240612000964 |
| Provider Name | Wayne Lajewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558364166 PECOS PAC ID: 1759306939 Enrollment ID: I20240812003776 |
| Provider Name | Kate Bubar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861820656 PECOS PAC ID: 8921319617 Enrollment ID: I20241203000907 |
| Provider Name | Li Qi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366250755 PECOS PAC ID: 5193252260 Enrollment ID: I20241231002800 |
| Provider Name | Amanda Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417772369 PECOS PAC ID: 1557890001 Enrollment ID: I20250128004090 |
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