NPIMap

Organization Active NPI

Woodbury Family Practice

  • Family Medicine Physician
  • Durham, NH
National Provider Identifier
1104007426
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOODBURY FAMILY PRACTICE
Practice address
7 Mill Rd Unit C
Durham, NH 03824-3047
Phone
(603) 430-0060
Fax
(603) 570-2036
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Kenneth Washington
Title
Director
Phone
(603) 430-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7 Mill Rd Unit C
Durham, NH 03824-3047

Mailing address

7 Mill Road PLZ # C
Durham, NH 03824-3047
Phone (603) 430-0060

National Provider Directory

National Provider Directory
Tax ID family
Appledore Medical Group Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 Mill Rd
Unit C
Durham, NH 03824
Phone (603) 430-0060

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1104007426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MILL ROAD PLZ # C",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243047",
            "telephone_number": "603-430-0060",
            "fax_number": "603-570-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MILL RD UNIT C",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243047",
            "telephone_number": "603-430-0060",
            "fax_number": "603-570-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-430-2935"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.