Organization Active NPI

Robert Soucy DO LLC

  • Family Medicine Physician
  • Colebrook, NH
National Provider Identifier
1104252006
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8182 Issued in NH
Legal business name
ROBERT SOUCY DO LLC
Practice address
9 Pleasant St
Suite 1
Colebrook, NH 03576-3247
Phone
(603) 237-4579
Fax
(603) 237-4579
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Robert Soucy, DONPI 1609857747
Title
Owner/Operator
Phone
(603) 237-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 8182 NH Primary

Addresses

Primary practice location

9 Pleasant St
Suite 1
Colebrook, NH 03576-3247

Mailing address

9 Pleasant St
Suite 1
Colebrook, NH 03576-3247
Phone (603) 237-4579

National Provider Directory

National Provider Directory

Locations

9 Pleasant St
#1
Colebrook, NH 03576
Phone (603) 237-4579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1104252006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "address_2": "SUITE 1",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763247",
            "telephone_number": "603-237-4579",
            "fax_number": "603-237-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "address_2": "SUITE 1",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763247",
            "telephone_number": "603-237-4579",
            "fax_number": "603-237-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SOUCY DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "SOUCY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "603-237-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "8182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.