Pinewood Professionals, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PINEWOOD PROFESSIONALS, LLC

Practice address

255 Route 108
Somersworth, NH 03878-1543

Phone

(603) 692-3166

Fax

(603) 692-3168

NPI assigned

Mar 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Caucis

Title

Coo

Phone

(603) 692-3166

Specialties & licenses 14

Addresses

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pinewood Professionals, LLC

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, NH
  • NPI 1134555618
  NPPES parent name
• Pinewood Professionals, LLC

  • Durable Medical Equipment & Medical Supplies
  • Concord, NH
  • NPI 1356777825
  NPPES parent name
• Pinewood Professionals, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lebanon, NH
  • NPI 1962838441
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Ann Morrison, ATTORNEY NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth, NH
  • NPI 1801014337
  NPD
• Donna Marie Flynn, PA-C

  • Physician Assistant
  • Somersworth, NH
  • NPI 1639290240
  NPD (past)
• Alyssia Lin, FNP-BC

  • Family Nurse Practitioner
  • Seabrook, NH
  • NPI 1750723920
  NPD (past)
• John Michael Rice, DC

  • Sports Physician Chiropractor
  • Merrimack, NH
  • NPI 1538216387
  NPD (past)
• Jonathan Mazur, MD

  • Occupational Medicine Physician
  • New Bedford, MA
  • NPI 1497865414
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1003157108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "603-692-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "603-692-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "CAUCIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "603-692-3166"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "03546",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Pelletier, ARNP
• Heath Pelletier, PA-C
• Marjorie Pelletier, APRN
• Katelyn Perkins, PT
• Vicki Tanner Petalas, FNP
• Pinnacle Rehabilitation Network, LLC
• Mitchell Ned Pivor, M.D.
• Nicole Plante
• PMC Surgical Center, LLC
• Aizhe Qian, RD

• General Practice Physician in Somersworth, NH
• Providers in Somersworth, NH by specialty
• General Practice Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.