Elizabeth Disney

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

21524 Issued in NH

Practice address

16 Hospital Rd
Plymouth, NH 03264-1199

Phone

(603) 536-1104

Fax

(603) 536-7260

NPI assigned

Mar 27, 2015

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speare Memorial HospitalGroup PAC ID 1153318068, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Speare Memorial Hospital

  dba Speare Hospitalist Program

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047

  Single Specialty

  Medicare reassignment NPD
• Speare Memorial Hospital

  • Rural Health Clinic/Center
  • Plymouth, NH
  • NPI 1437291515

  Single Specialty

  Medicare reassignment NPD
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376

  Single Specialty

  Medicare reassignment NPD
• Northwestern Medical Center, Inc.

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1538293469

  Single Specialty

  Medicare reassignment NPD
• Speare Memorial Hospital

  • Emergency Medicine Physician
  • Plymouth, NH
  • NPI 1346487956

  Single Specialty

  NPD
• Speare Memorial Hospital

  dba Speare Hospital at Meredith

  • Family Medicine Physician
  • Meredith, NH
  • NPI 1669161659

  Single Specialty

  NPD
• Northwestern Medical Center Inc

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1538442199

  Single Specialty

  NPD
• Northwestern Medical Center, Inc

  dba Northwestern Family Birth Center

  • Pediatrics Physician
  • Saint Albans, VT
  • NPI 1003574740

  Single Specialty

  NPD
• Speare Memorial Hospital

  • Specialist
  • Plymouth, NH
  • NPI 1023036191

  Single Specialty

  NPD (past)

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

• Speare Memorial Hospital

  • Specialist
  • Plymouth, NH
  • NPI 1023036191

  Hospital

  Care Compare affiliation
• Speare Memorial Hospital

  dba Speare Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, NH
  • NPI 1407690019

  Hospital

  Care Compare affiliation
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376
  Care Compare affiliation
• Speare Memorial Hospital

  dba Wound Care & Hyperbaric Medicine Center

  • Wound Care Registered Nurse
  • Plymouth, NH
  • NPI 1861823999

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1124412119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641199",
            "telephone_number": "603-536-1104",
            "fax_number": "603-536-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Fairfield St",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054781726",
            "country_code": "US",
            "telephone_number": "802-524-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841322209",
            "country_code": "US",
            "telephone_number": "801-581-7647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042.0014325",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "21524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Desclos, PHARM D
• Ian Detamore, LCMHC, NCC
• Kimberly Jean Di Salvo, M.A., CCC-SLP
• Vu V Dinh, RPH
• Cecilia Lynch Disney, MD
• Ruth Alexander Doane, RDH
• Katrina Dopp, APRN
• Henry Daniel Dougherty, OT
• Anne Maureen Doyle, MA, CCC-SLP
• Jake Dreyfus

• Obstetrics & Gynecology Physician in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Obstetrics & Gynecology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.