Thomas H. Davis, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Lebanon, NH
NPI 1114013240 · NPPES record last updated Jul 20, 2011
Key facts
- NPI
- 1114013240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 8693 (NH)
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-8626
- Fax
- (603) 650-7791
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000242 | NH | Practitioner - Medical Oncology | 8921072539 | Reassigns benefits to 4 organizations |
| I20060330000477 | VT | Practitioner - Hematology/Oncology | 8921072539 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8693 | NH | MD | Hematology & Oncology Physician |
| 042-0007883 | VT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Springfield Hospital .Inc | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| The New London Hospital Association, Inc. | Current |
Accepting new patients | |
| The New London Hospital Association, Inc. | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Hematology & Oncology | Current |
Accepting new patients |
| The New London Hospital Association, Inc. | Past | Accepting new patients | |
| Brattleboro Memorial Hospital | Past |
Accepting new patients |
Locations
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
273 County Rd
New London, NH 03257
Phone (603) 526-5215
53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
- tdavis12157@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 8693 | NH | Yes |
| Hematology & Oncology Physician | 207RH0003X | 042-0007883 | VT |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-8626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80002326 | Medicaid | NH | |
| 0002326 | Medicaid | VT |
Other providers in Lebanon, NH
- Bethanie Knighton Davies
- Ann J. Davis
- Garrett C Davis
- Janet Davis
- Susan Davis
- William Burleson Daviss
- Jordan Kane Dawson
- Thomas Prall Day
- David De Gijsel
- Marine De Marcken de Merken
All providers in Lebanon, NH · Hematology & Oncology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.