NPIMap

Individual provider Active NPI

Deane Ethan Rankin, MD

  • Otolaryngology Physician
  • Littleton, NH
National Provider Identifier
1174555767
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10879 Issued in NH
Practice address
580 St. Johnsbury Rd.
Littleton, NH 03561
Phone
(603) 444-2450
Fax
(603) 444-2923
NPI assigned
Jul 6, 2006
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 10879 NH Primary

Addresses

Primary practice location

580 St. Johnsbury Rd.
Littleton, NH 03561

Mailing address

PO Box 160
Patient Financial Services
Littleton, NH 03561
Phone (603) 259-7627

Other identifiers 2

IdentifierTypeStateIssuer
0RE5760MedicaidVT
30210958MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050107000763 NH Practitioner - Otolaryngology 7113975251 Reassigns benefits to 1 organization
I20130808000714 VT Practitioner - Otolaryngology 7113975251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

PO Box
905 1315 Hospital Dr
St Johnsbury, VT 05819-0905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Littleton Hospital Association Current Accepting new patients
Littleton Hospital Association CurrentSince Dec 30, 2009 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Jun 1, 2013 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Littleton Hospital Association CurrentSince Dec 30, 2009 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Otolaryngology CurrentSince Jun 1, 2013 Accepting new patients
Littleton Hospital Association Otolaryngology Past Accepting new patients

Locations

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

580 Saint Johnsbury Rd
#Hn
Littleton, NH 03561
Phone (603) 444-2450

580 Saint Johnsbury Rd
Ste H
Littleton, NH 03561
Phone (603) 444-2450

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Littleton Regional HealthcareLittleton, NH, CCN 301302 Hospital Other Sep 28, 2010
Littleton Regional HealthcareLittleton, NH, CCN 30Z302 Hospital Corporate Director Sep 28, 2010
North Country Primary CareLittleton, NH, CCN 303988 Rural health clinic Other Sep 28, 2009

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1174555767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "PATIENT FINANCIAL SERVICES",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-259-7627",
            "fax_number": "603-259-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ST. JOHNSBURY RD.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-2450",
            "fax_number": "603-444-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "DEANE",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "10879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE5760",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30210958",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.