Douglas A Deaett, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5988 Issued in NH

Practice address

125 Mascoma St
Lebanon, NH 03766-2647

Phone

(603) 448-3121

Fax

(603) 448-7462

NPI assigned

Sep 26, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033105044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MASCOMA ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662647",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MASCOMA ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662647",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAETT",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "5988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000548",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001226",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Burleson Daviss, M.D.
• Jordan Kane Dawson, RD
• Thomas Prall Day, PT
• David De Gijsel, M.D.
• Marine De Marcken de Merken
• Barbara A Deangelis, RDH
• Deborah a. Glazer, MD
• Alexandra Debow
• Julianne Dee
• Emma Degrasse, LICSW

• Emergency Medicine Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.