NPIMap

Individual provider Active NPI

Jonathan Wilfred Sixon, M.D.

  • Family Medicine Physician
  • Milford, NH
National Provider Identifier
1114027570
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12080 Issued in NH
Practice address
444 Nashua St
Milford, NH 03055-4915
Phone
(603) 673-3014
Fax
(603) 672-7654
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12080 NH Primary

Addresses

Primary practice location

444 Nashua St
Milford, NH 03055-4915

Mailing address

C/O St Mary'S Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-3100
Phone (207) 777-8695

Other identifiers 1

IdentifierTypeStateIssuer
3073830MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000461 NH Practitioner - Family Practice 2668489824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

444 Nashua St
Milford, NH 03055-4915
Phone (603) 673-3014

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Vna at HCS Inc Home health agency, Keene, NH, CCN 307046
  • Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Jul 15, 2020 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Jul 15, 2020 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

444 Nashua St
Milford, NH 03055
Phone (603) 673-3014

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: jsixon1155817@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1114027570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042433100",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NASHUA ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554915",
            "telephone_number": "603-673-3014",
            "fax_number": "603-672-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIXON",
        "first_name": "JONATHAN",
        "middle_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073830",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.