Active NPI
Sirona GH Pruna, MD
- Obstetrics & Gynecology Physician
- Newmarket, NH
National Provider Identifier
1013971795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12945
- Practice address
- 207 S Main St
Newmarket, NH 03857-1843 - Phone
- (603) 659-3106
- Fax
- (603) 659-8003
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12945 | NH | Primary |
Addresses
Primary practice location
207 S Main St
Newmarket, NH 03857-1843
Mailing address
207 S Main St
Newmarket, NH 03857-1843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205771 | Medicaid | NH |
Other names 1
- Sirona Petec
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1013971795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571843",
"telephone_number": "603-659-3106",
"fax_number": "603-659-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUNA",
"first_name": "SIRONA",
"middle_name": "GH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "12945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205771",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIRONA",
"last_name": "PETEC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newmarket, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.