Organization Active NPI

Maryclaire Paicopolis MD PC

  • Cardiovascular Disease Physician
  • Gilford, NH
National Provider Identifier
1083856850
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8741 Issued in NH
Legal business name
MARYCLAIRE PAICOPOLIS MD PC
Practice address
451 Belknap Mountain Rd
Gilford, NH 03246
Phone
(603) 491-1863
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Maryclaire Paicopolis, MD
Title
President
Phone
(603) 491-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 8741 NH Primary

Addresses

Primary practice location

451 Belknap Mountain Rd
Gilford, NH 03246

Mailing address

451 Belknap Mt Rd
Gilford, NH 03249
Phone (603) 491-1863

Other identifiers 1

IdentifierTypeStateIssuer
30007397MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1083856850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BELKNAP MT RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03249",
            "telephone_number": "603-491-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BELKNAP MOUNTAIN RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03246",
            "telephone_number": "603-491-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYCLAIRE PAICOPOLIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "PAICOPOLIS",
        "authorized_official_first_name": "MARYCLAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-491-1863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007397",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.