Active NPI
Donald Ralph Single, MD
- Emergency Medicine Physician
- Wilmot, NH
National Provider Identifier
1093019739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 8894
- Practice address
- 16 Mountain Overlook
Wilmot, NH 03287 - Phone
- (603) 526-2969
- Fax
- (603) 526-8863
- NPI assigned
- Jan 10, 2011
- Last updated
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 8894 | NH | Primary |
Addresses
Primary practice location
16 Mountain Overlook
Wilmot, NH 03287
Mailing address
PO Box 1499
New London, NH 03257-1499
Phone (603) 526-2969
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140821001399 | NH | Order and Referring Only - Emergency Medicine | 5799684247 |
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": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1093019739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1499",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "032571499",
"telephone_number": "603-526-2969",
"fax_number": "603-526-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOUNTAIN OVERLOOK",
"city": "WILMOT",
"state": "NH",
"postal_code": "03287",
"telephone_number": "603-526-2969",
"fax_number": "603-526-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLE",
"first_name": "DONALD",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "8894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmot, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.