| Derry Medical Center, Pa | |
|
6 Tsienneto Rd Suite 100 Derry NH 03038-1584 | |
| (603) 537-1300 | |
| (603) 537-1326 |
| Full Name | Derry Medical Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Tsienneto Rd, Derry, New Hampshire |
| Authorized Official Name and Position | Christine M Hand (PRESIDENT) |
| Authorized Official Contact | 6035371300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Derry Medical Center, Pa 6 Buttrick Rd Ste 102 Londonderry NH 03053-3417 Ph: (603) 537-1300 | Derry Medical Center, Pa 6 Tsienneto Rd Suite 100 Derry NH 03038-1584 Ph: (603) 537-1300 |
| NPI Number | 1922030493 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 5294711768 |
|---|---|
| Medicare Enrollment ID | O20040625000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922030493 | NPI | - | NPPES |
| 709488 | Other | NH | TUFTS |
| 83019373 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Douglas R Dreffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316940802 PECOS PAC ID: 9133024730 Enrollment ID: I20031205000574 |
| Provider Name | Ajay Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932184603 PECOS PAC ID: 9931002391 Enrollment ID: I20040202000092 |
| Provider Name | Jonathan Kilroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534806 PECOS PAC ID: 6800780362 Enrollment ID: I20040214000126 |
| Provider Name | Thomas C Hagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992802714 PECOS PAC ID: 7517856917 Enrollment ID: I20040313000064 |
| Provider Name | James F Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215928296 PECOS PAC ID: 0143215152 Enrollment ID: I20040419001022 |
| Provider Name | Daniel A Waszkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578552394 PECOS PAC ID: 5395731574 Enrollment ID: I20040422001189 |
| Provider Name | Robert Dorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447320080 PECOS PAC ID: 2961465018 Enrollment ID: I20041109000948 |
| Provider Name | Debra E Margolis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912093824 PECOS PAC ID: 8123081270 Enrollment ID: I20041109000966 |
| Provider Name | Cristi M Egenolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053391565 PECOS PAC ID: 6709840069 Enrollment ID: I20041116000846 |
| 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 | Ahmad Athar Usmani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407834831 PECOS PAC ID: 0941257562 Enrollment ID: I20050406000349 |
| Provider Name | Scott J Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689614091 PECOS PAC ID: 2668414012 Enrollment ID: I20050525000792 |
| Provider Name | Vipra A Rai |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750892378 PECOS PAC ID: 3870538283 Enrollment ID: I20050627000514 |
| Provider Name | Dennis G Rork |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194795088 PECOS PAC ID: 0840236089 Enrollment ID: I20050628001203 |
| Provider Name | Wendy L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346274941 PECOS PAC ID: 9335185370 Enrollment ID: I20050630000171 |
| Provider Name | Albert C Northcutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437129061 PECOS PAC ID: 8820015332 Enrollment ID: I20051024001040 |
| Provider Name | Christine M Hand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558331215 PECOS PAC ID: 7012931124 Enrollment ID: I20060117000233 |
| Provider Name | Jill M Waren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255320016 PECOS PAC ID: 2466476262 Enrollment ID: I20060119000594 |
| Provider Name | Jay B Bannister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619970746 PECOS PAC ID: 2264456078 Enrollment ID: I20060119000712 |
| Provider Name | Daniel J Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639169741 PECOS PAC ID: 1658395298 Enrollment ID: I20060123000035 |
| Provider Name | John P Daley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720058944 PECOS PAC ID: 3577571249 Enrollment ID: I20060323000038 |
| Provider Name | Mathew Sawyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316054745 PECOS PAC ID: 1557365061 Enrollment ID: I20060914000021 |
| Provider Name | Shaikh R Hoque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508849886 PECOS PAC ID: 1658399035 Enrollment ID: I20070302000433 |
| Provider Name | Sarah E Murai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346379393 PECOS PAC ID: 6103893581 Enrollment ID: I20070807000113 |
| Provider Name | Rebecca E Krasnof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831395011 PECOS PAC ID: 2567559974 Enrollment ID: I20071101000444 |
| Provider Name | Michael Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336388677 PECOS PAC ID: 9133286719 Enrollment ID: I20090326000124 |
| Provider Name | Jeffrey P Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376751016 PECOS PAC ID: 3173623931 Enrollment ID: I20090911000363 |
| Provider Name | Deborah N Amirtham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215154075 PECOS PAC ID: 1658417613 Enrollment ID: I20091005000416 |
| Provider Name | John Welter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674503 PECOS PAC ID: 2062594153 Enrollment ID: I20091228000151 |
| Provider Name | John Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518931146 PECOS PAC ID: 1557325826 Enrollment ID: I20100104000205 |
| Provider Name | Katherine A Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558566489 PECOS PAC ID: 5395880272 Enrollment ID: I20100303000398 |
| Provider Name | Kathryn Duclos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306016134 PECOS PAC ID: 8224164488 Enrollment ID: I20100504000263 |
| Provider Name | Elena Luchanok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033311626 PECOS PAC ID: 1254512197 Enrollment ID: I20110224000572 |
| Provider Name | Patrick T Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780846295 PECOS PAC ID: 6800066739 Enrollment ID: I20110831000494 |
| Provider Name | Anne Barlow Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518195841 PECOS PAC ID: 2567619091 Enrollment ID: I20120905000643 |
| Provider Name | Katharine L Wetherbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366684755 PECOS PAC ID: 8921251356 Enrollment ID: I20130114000355 |
| Provider Name | David T Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619208022 PECOS PAC ID: 6608020656 Enrollment ID: I20130129000432 |
| Provider Name | Margaret Ashley Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871902387 PECOS PAC ID: 5294051876 Enrollment ID: I20150225001075 |
| Provider Name | Adam P Androlia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205124757 PECOS PAC ID: 3577873777 Enrollment ID: I20151029002576 |
| Provider Name | Corey Gittleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448350 PECOS PAC ID: 7911147319 Enrollment ID: I20160802003259 |
| Provider Name | Alexia Strzalka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457796633 PECOS PAC ID: 6204120561 Enrollment ID: I20160809001830 |
| Provider Name | Justin Plaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295179984 PECOS PAC ID: 5496040859 Enrollment ID: I20160824000951 |
| Provider Name | Amy L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922467216 PECOS PAC ID: 3678869898 Enrollment ID: I20160914000388 |
| Provider Name | Steven Hilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649690066 PECOS PAC ID: 7416271820 Enrollment ID: I20170630000006 |
| Provider Name | Benjamin S Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649683194 PECOS PAC ID: 9739306044 Enrollment ID: I20171017002948 |
| Provider Name | Kerry A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346763927 PECOS PAC ID: 0648520734 Enrollment ID: I20180911003152 |
| Provider Name | Michael P Marolda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407206477 PECOS PAC ID: 0547555005 Enrollment ID: I20190812002193 |
| Provider Name | Douglas M Phelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760896849 PECOS PAC ID: 5799902847 Enrollment ID: I20190813003667 |
| Provider Name | Caitlyn Hutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558915876 PECOS PAC ID: 6406281518 Enrollment ID: I20200120000072 |
| Provider Name | Jennifer L Badger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679093843 PECOS PAC ID: 2365717964 Enrollment ID: I20201001000341 |
| Provider Name | Natalia Kit |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1841793833 PECOS PAC ID: 4880082635 Enrollment ID: I20211027001235 |
| Provider Name | Hannah Mackintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790407138 PECOS PAC ID: 0941673941 Enrollment ID: I20230222000479 |
| Provider Name | Samantha Anne Bilodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275260580 PECOS PAC ID: 7113390139 Enrollment ID: I20230222001378 |
| Provider Name | Christine Anne Tuohy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396342275 PECOS PAC ID: 4880055789 Enrollment ID: I20230725001210 |
| Provider Name | Caroline Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407484710 PECOS PAC ID: 2365867694 Enrollment ID: I20231027000350 |
| Provider Name | Victoria Lynne Overko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659144269 PECOS PAC ID: 7012366172 Enrollment ID: I20231214001068 |
| Provider Name | Karen M Desmarais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093951808 PECOS PAC ID: 6608229331 Enrollment ID: I20240130001667 |
| Provider Name | Valerie Piper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003969551 PECOS PAC ID: 5991158552 Enrollment ID: I20240130003265 |
| Provider Name | Jeffrey Peter Wedge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770057291 PECOS PAC ID: 0345693701 Enrollment ID: I20240201001839 |
| Provider Name | Dean Howard Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558621169 PECOS PAC ID: 9436592888 Enrollment ID: I20240213002012 |
| Provider Name | Joanne Bickford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588931562 PECOS PAC ID: 5395151575 Enrollment ID: I20240221004313 |
Parkland Family Practice Of Derry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Birch St, Suite 200, Derry, NH 03038 Phone: 603-421-2432 Fax: 603-421-2435 | |
Parkland Physician Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 Birch St, Suite 200, Derry, NH 03038 Phone: 603-421-9130 Fax: 603-421-2435 | |
Parkland Internal Medicine Of Derry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Birch St, Suite 200, Derry, NH 03038 Phone: 603-421-3419 Fax: 603-421-2451 | |
Parkland Physician Services Of Salem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Birch St, Suite 200, Derry, NH 03038 Phone: 603-421-3419 Fax: 603-894-0535 | |
Albacore Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-432-1500 | |
Diabetes And Lifestyle Management, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Tsienneto Rd Ste 200, Derry, NH 03038 Phone: 603-552-3309 Fax: 603-965-4177 | |
Sterling Hospitalist Service Of Nh, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-432-1500 |