Active NPI
Chris C. Panagoulias, DPM
- Primary Podiatric Medicine Podiatrist
- Nashua, NH
National Provider Identifier
1205832391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- NH123
- Practice address
- 3 Water St
Suite 101
Nashua, NH 03060-3314 - Phone
- (603) 883-1321
- Fax
- (603) 883-1373
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NH123 | NH | Primary |
Addresses
Primary practice location
3 Water St
Suite 101
Nashua, NH 03060-3314
Mailing address
17 Grant LN
Ogunquit, ME 03907-3647
Phone (603) 883-1321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308235Y0NH01 | Other | NH | ANTHEM |
| 713977 | Other | NH | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0123 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| NH123 | NH | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1205832391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GRANT LN",
"city": "OGUNQUIT",
"state": "ME",
"postal_code": "039073647",
"telephone_number": "603-883-1321",
"fax_number": "603-883-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WATER ST",
"address_2": "SUITE 101",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603314",
"telephone_number": "603-883-1321",
"fax_number": "603-883-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANAGOULIAS",
"first_name": "CHRIS",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NH",
"license": "NH123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0308235Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "713977",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.