Active NPI
Mary Jean Uhrich, PA-C
- Physician Assistant
- Derry, NH
National Provider Identifier
1093772519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 721
- Practice address
- 44 Birch St
Suite 200
Derry, NH 03038-2752 - Phone
- (603) 421-9616
- Fax
- (603) 421-2451
- NPI assigned
- Apr 27, 2006
- Last updated
- Jun 10, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0150 | NH | |
| Physician Assistant | 363A00000X | PA 721 | MA | Primary |
Addresses
Primary practice location
44 Birch St
Suite 200
Derry, NH 03038-2752
Mailing address
44 Birch St
Suite 200
Derry, NH 03038-2752
Phone (603) 421-9616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30334418 | Medicaid | NH |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 721 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Physician Services, Inc. | Past | Accepting new patients | |
| Parkland Physician Services Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Womens Health Associates of Derry
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- Derry, NH
- NPI 1740409556
-
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- Derry, NH
- NPI 1144388737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1093772519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"address_2": "SUITE 200",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-421-9616",
"fax_number": "603-421-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"address_2": "SUITE 200",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-421-9616",
"fax_number": "603-421-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UHRICH",
"first_name": "MARY",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0150",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA 721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30334418",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.