| Speare Hospitalist Program | |
|
16 Hospital Rd Plymouth NH 03264-1126 | |
| (603) 536-1120 | |
| Not Available |
| Full Name | Speare Hospitalist Program |
|---|---|
| Speciality | General Practice |
| Location | 16 Hospital Rd, Plymouth, New Hampshire |
| Authorized Official Name and Position | Michelle L Mcewen (PRESIDENT/CEO) |
| Authorized Official Contact | 6035361120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speare Hospitalist Program 16 Hospital Rd Plymouth NH 03264-1126 Ph: () - | Speare Hospitalist Program 16 Hospital Rd Plymouth NH 03264-1126 Ph: (603) 536-1120 |
| NPI Number | 1346402047 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 1153318068 |
|---|---|
| Medicare Enrollment ID | O20040823001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346402047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Eric M Bonnem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265426035 PECOS PAC ID: 6103818240 Enrollment ID: I20040331000319 |
| Provider Name | Jeffrey Thomas Reisert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780668350 PECOS PAC ID: 4385634419 Enrollment ID: I20040512001161 |
| Provider Name | David F Mattice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669445086 PECOS PAC ID: 7416947684 Enrollment ID: I20040518000698 |
| Provider Name | Ralph P Broadwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568685253 PECOS PAC ID: 2961484993 Enrollment ID: I20040603000828 |
| Provider Name | John N Bentwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184792566 PECOS PAC ID: 0749263291 Enrollment ID: I20040608000250 |
| Provider Name | Patrick Casey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760416234 PECOS PAC ID: 8426006743 Enrollment ID: I20050104000354 |
| Provider Name | Jean L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437238458 PECOS PAC ID: 4183661697 Enrollment ID: I20050414001300 |
| Provider Name | Lance J Klingler |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1437189511 PECOS PAC ID: 9032179460 Enrollment ID: I20050628000053 |
| Provider Name | Jill H Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902012859 PECOS PAC ID: 5991741803 Enrollment ID: I20050630000789 |
| Provider Name | George B Neal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851458574 PECOS PAC ID: 3870519465 Enrollment ID: I20051022000269 |
| Provider Name | Clifford Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053345512 PECOS PAC ID: 5193794295 Enrollment ID: I20051103000883 |
| Provider Name | Joseph A Ebner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881602472 PECOS PAC ID: 4183646573 Enrollment ID: I20051229000109 |
| Provider Name | Vercin S Ephrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366468928 PECOS PAC ID: 2961405741 Enrollment ID: I20060816000557 |
| Provider Name | Matthew P Warden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528083250 PECOS PAC ID: 2062581879 Enrollment ID: I20081111000071 |
| Provider Name | James P Koren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952360430 PECOS PAC ID: 7517913387 Enrollment ID: I20081229000162 |
| Provider Name | Savan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831149442 PECOS PAC ID: 6204839517 Enrollment ID: I20091208000684 |
| Provider Name | Douglass Weiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700932522 PECOS PAC ID: 2668566704 Enrollment ID: I20100121000491 |
| Provider Name | Vladimir Jelnov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801089115 PECOS PAC ID: 9234226028 Enrollment ID: I20100212000279 |
| Provider Name | Joseph E Casey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316965478 PECOS PAC ID: 7315135480 Enrollment ID: I20101216000626 |
| Provider Name | Fady Abou Rizk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518124189 PECOS PAC ID: 2860663176 Enrollment ID: I20110919000152 |
| Provider Name | Elie B Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679843601 PECOS PAC ID: 9032366992 Enrollment ID: I20120828000532 |
| Provider Name | Sean T Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841494440 PECOS PAC ID: 4183896525 Enrollment ID: I20121003000460 |
| Provider Name | Ernest J Hanowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023299666 PECOS PAC ID: 7113177833 Enrollment ID: I20121015000557 |
| Provider Name | Kristina M Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073861191 PECOS PAC ID: 1052562097 Enrollment ID: I20121121000318 |
| Provider Name | Joshua P Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700011798 PECOS PAC ID: 1052576758 Enrollment ID: I20130916000376 |
| Provider Name | Daniel S Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003850413 PECOS PAC ID: 4486659208 Enrollment ID: I20130927000179 |
| Provider Name | Wendy A Demartino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125899 PECOS PAC ID: 0648364760 Enrollment ID: I20131231000465 |
| Provider Name | Mark W Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508974544 PECOS PAC ID: 5890975650 Enrollment ID: I20141021000511 |
| Provider Name | Andrew W Seefeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659565950 PECOS PAC ID: 7517014236 Enrollment ID: I20150617001204 |
| Provider Name | Paul S Musco |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063579886 PECOS PAC ID: 7214065143 Enrollment ID: I20160106001845 |
| Provider Name | Nancy A Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281454 PECOS PAC ID: 2365745015 Enrollment ID: I20160129001289 |
| Provider Name | Stephanie L. Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367469 PECOS PAC ID: 2466756515 Enrollment ID: I20160210000308 |
| Provider Name | James Treadwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023089299 PECOS PAC ID: 9830345479 Enrollment ID: I20160728000438 |
| Provider Name | Gabrielle E Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245686450 PECOS PAC ID: 3678867314 Enrollment ID: I20160803002002 |
| Provider Name | Tristan Wihbey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104269687 PECOS PAC ID: 7618275058 Enrollment ID: I20161010000981 |
| Provider Name | Joanie Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819445 PECOS PAC ID: 8426280033 Enrollment ID: I20170109001635 |
| Provider Name | Eric M Shamansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442269 PECOS PAC ID: 9537445895 Enrollment ID: I20170421000428 |
| Provider Name | Wilma A Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033169115 PECOS PAC ID: 3173809431 Enrollment ID: I20170421000443 |
| Provider Name | Kenneth Rapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134534548 PECOS PAC ID: 2264700863 Enrollment ID: I20170623001067 |
| Provider Name | Ashley M Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215465455 PECOS PAC ID: 9638440159 Enrollment ID: I20170802000803 |
| Provider Name | Kevin B Botelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861916967 PECOS PAC ID: 5395019053 Enrollment ID: I20170919000973 |
| Provider Name | Jamison F Costello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053731646 PECOS PAC ID: 5597079731 Enrollment ID: I20171002000518 |
| Provider Name | Maureen A Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679099220 PECOS PAC ID: 4082989595 Enrollment ID: I20171010001937 |
| Provider Name | Ryan K Duffy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225200215 PECOS PAC ID: 6002058310 Enrollment ID: I20171010003448 |
| Provider Name | Reda Benhorma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881036762 PECOS PAC ID: 8527352335 Enrollment ID: I20180702000325 |
| Provider Name | Shanta Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063897304 PECOS PAC ID: 8628327129 Enrollment ID: I20180816001161 |
| Provider Name | Jonathan W Klingler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164742730 PECOS PAC ID: 3476701616 Enrollment ID: I20181010000108 |
| Provider Name | Laurel A Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821573577 PECOS PAC ID: 3274887658 Enrollment ID: I20181121002503 |
| Provider Name | Christopher Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237577 PECOS PAC ID: 3274870969 Enrollment ID: I20190204002741 |
| Provider Name | Jonathan C Beach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053342600 PECOS PAC ID: 1850364381 Enrollment ID: I20190208000709 |
| Provider Name | Robert J Chastanet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083688972 PECOS PAC ID: 2365592821 Enrollment ID: I20190218000938 |
| Provider Name | Heather M Grenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201380 PECOS PAC ID: 6800138389 Enrollment ID: I20190502001732 |
| Provider Name | Carrie Lee Heiney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164747895 PECOS PAC ID: 9830344340 Enrollment ID: I20190521001552 |
| Provider Name | Anton M Kurtz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619101219 PECOS PAC ID: 4981990363 Enrollment ID: I20190606000533 |
| Provider Name | Tami L Hayhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773890 PECOS PAC ID: 5991033888 Enrollment ID: I20190830001646 |
| Provider Name | Yaroslav Basyuk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1467795724 PECOS PAC ID: 1850623851 Enrollment ID: I20191024000362 |
| Provider Name | Laura E Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548727415 PECOS PAC ID: 4183056773 Enrollment ID: I20191120001868 |
| Provider Name | Stephanie R Penney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326678095 PECOS PAC ID: 4688002603 Enrollment ID: I20200325000472 |
| Provider Name | Jordan H Ide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821618042 PECOS PAC ID: 5395162598 Enrollment ID: I20200902002714 |
| Provider Name | Brittany K Anibal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588191340 PECOS PAC ID: 6800213844 Enrollment ID: I20200904000962 |
| Provider Name | Jason M Desmarais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396156352 PECOS PAC ID: 7719285063 Enrollment ID: I20201112002791 |
| Provider Name | Jennifer L Bentwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942512066 PECOS PAC ID: 7517101868 Enrollment ID: I20201217001287 |
| Provider Name | George C Vorys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568605780 PECOS PAC ID: 3072739762 Enrollment ID: I20210602001668 |
| Provider Name | Nadia E Harrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831865898 PECOS PAC ID: 1557767654 Enrollment ID: I20210914002941 |
| Provider Name | Hallick J Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821764952 PECOS PAC ID: 9032516794 Enrollment ID: I20210922001964 |
| Provider Name | Alicia J Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460807 PECOS PAC ID: 2163829474 Enrollment ID: I20210928003231 |
| Provider Name | Kristen L Stupay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861871782 PECOS PAC ID: 9931416088 Enrollment ID: I20211005000050 |
| Provider Name | Elizabeth A Disney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124412119 PECOS PAC ID: 8921387754 Enrollment ID: I20211116001194 |
| Provider Name | Sarah Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982880225 PECOS PAC ID: 1658454202 Enrollment ID: I20220424000032 |
| Provider Name | Jewelian A Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003376369 PECOS PAC ID: 9830577238 Enrollment ID: I20220818000979 |
| Provider Name | Julia Lanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538809256 PECOS PAC ID: 0345625760 Enrollment ID: I20220920003166 |
| Provider Name | Eliza Claire Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366805889 PECOS PAC ID: 9638464027 Enrollment ID: I20221108002442 |
| Provider Name | Andrew D Hagar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982134946 PECOS PAC ID: 4385915677 Enrollment ID: I20231103003096 |
| Provider Name | Konstantin Ravvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851901 PECOS PAC ID: 7113256207 Enrollment ID: I20231106001520 |
| Provider Name | Aleksandr Chernyy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295226306 PECOS PAC ID: 0446653208 Enrollment ID: I20231204000596 |
| Provider Name | Jalal-deen Armiyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356844179 PECOS PAC ID: 3779905096 Enrollment ID: I20240213001237 |
Plymouth Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Warren St, Plymouth, NH 03264 Phone: 603-536-2502 Fax: 603-536-2503 | |
Mid-state Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Main St, Plymouth, NH 03264 Phone: 603-536-4000 | |
Plymouth Pediatric And Adolescent Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 Fax: 603-536-5384 | |
Speare Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1104 Fax: 603-536-7260 | |
Gennaro Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1120 | |
Mid-state Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264 Phone: 603-536-4000 Fax: 603-536-4001 |