NPIMap

Organization Active NPI

Parkland Physician Services Inc

Doing business as Parkland Internal Medicine of Derry

  • Internal Medicine Physician
  • Derry, NH
National Provider Identifier
1174512354
Registry record updated Feb 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARKLAND PHYSICIAN SERVICES INC
Doing business as
Parkland Internal Medicine of Derry
Practice address
44 Birch St
Suite 200
Derry, NH 03038-2752
Phone
(603) 421-3419
Fax
(603) 421-2451
NPI assigned
Oct 19, 2005
Last updated
Feb 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2008

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

Authorized official

Name
Kenneth Washington
Title
VP
Phone
(703) 650-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

44 Birch St
Suite 200
Derry, NH 03038-2752

Mailing address

44 Birch St
Suite 200
Derry, NH 03038-2752
Phone (603) 421-9616

Other identifiers 1

IdentifierTypeStateIssuer
30214303MedicaidNH

Other names 1

  • Parkland Internal Medicine of Derry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkland Physician Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1174512354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-421-9616",
            "fax_number": "603-421-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-421-3419",
            "fax_number": "603-421-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30214303",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Internal Medicine of Derry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.