Paul Michael Pender, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6272 Issued in NH

Practice address

1415 Elm St
NH Eye Associates PA
Manchester, NH 03101-1325

Phone

(603) 669-3925

Fax

(603) 669-0380

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
  • NPI 1225625643
  NPD (past)
• Pinnacle Rehabilitation Network LLC

  • Physical Therapist
  • Freeport, ME
  • NPI 1235940388
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1114998952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ELM ST",
            "address_2": "NH EYE ASSOCIATES PA",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011325",
            "telephone_number": "603-669-3925",
            "fax_number": "603-669-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ELM ST",
            "address_2": "NH EYE ASSOCIATES PA",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011325",
            "telephone_number": "603-669-3925",
            "fax_number": "603-669-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "6272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82183740",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Pelletier, PA
• Maeghan M Pelletier, BA
• Samantha Pelletier, BA
• Lisa Pelunis-Messier, PHARMD
• Marina Pena, LICSW
• David L Pendleton, PA-C
• Patricia Pendoley, LCMHC
• Emily Pennington
• Joseph Pepe, MD
• Amy Lyn Daniels Pepin, LICSW

• Ophthalmology Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.