Active NPI
Denise Anne Hanley Gagnon, PA
- Medical Physician Assistant
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0113
- Practice address
- 701 Central Ave
Dover, NH 03820-3403 - Phone
- (603) 609-6700
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0113 | NH | Primary |
Addresses
Primary practice location
701 Central Ave
Dover, NH 03820-3403
Mailing address
250 Pleasant St
Concord, NH 03301-7539
Phone (603) 227-7000
Other practice location 1
250 Pleasant St
Concord, NH 03301-7539
Phone (603) 227-7000 ext. 3594
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507
701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0113 | NH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Emergency Physicians PC | Current | Accepting new patients |
Locations
701 Central Ave
Dover, NH 03820
Phone (603) 609-6700
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dover, NH
- NPI 1134155872
-
- Emergency Medicine Physician
- Lee, NH
- NPI 1740410133
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1184643975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017539",
"telephone_number": "603-227-7000",
"fax_number": "603-224-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038203403",
"telephone_number": "603-609-6700"
}
],
"practiceLocations": [
{
"address_1": "250 Pleasant St",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033017539",
"country_code": "US",
"telephone_number": "603-227-7000 x3594",
"fax_number": "603-224-6527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNON",
"first_name": "DENISE",
"middle_name": "ANNE HANLEY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "0113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.