Individual provider Active NPI

Heidi Macvittie, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NH
National Provider Identifier
1033295803
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12625 Issued in NH
Practice address
21 Whitehall Rd
Suite 201
Rochester, NH 03867-3236
Phone
(603) 335-8830
Fax
(603) 332-3658
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12625 NH Primary

Addresses

Primary practice location

21 Whitehall Rd
Suite 201
Rochester, NH 03867-3236

Mailing address

718 Smyth Rd
Manchester, NH 03104-7007
Phone (603) 624-4366

Other identifiers 1

IdentifierTypeStateIssuer
30205004MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214002580 NH Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 1557308798

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1033295803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL RD",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673236",
            "telephone_number": "603-335-8830",
            "fax_number": "603-332-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACVITTIE",
        "first_name": "HEIDI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "12625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205004",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.