Active NPI
Sonya M Schwaegerle, MD
- Anatomic Pathology & Clinical Pathology Physician
- Portsmouth, NH
National Provider Identifier
1225007891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 8102
- Practice address
- 333 Borthwick Ave
Portsmouth, NH 03801-7128 - Phone
- (603) 433-4907
- Fax
- (603) 433-4910
- NPI assigned
- Mar 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 8102 | NH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 8102 | NH | Primary |
Addresses
Primary practice location
333 Borthwick Ave
Portsmouth, NH 03801-7128
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102789Y0NH01 | Other | NH | ANTHEM BCBS |
| 220017422 | Other | NH | RAILROAD MEDICARE |
| A0108 | Other | ME | ANTHEM BCBS MAINE |
| 30005142 | Medicaid | NH | |
| 020461237 | Other | ONE HEALTH PLAN | |
| 142110099 | Medicaid | ME | |
| 008102 | Other | NH | TUFTS HEALTH PLAN |
| E51792 | Other | HARVARD PILGRIM HEALTH | |
| 020461237 | Other | PHCS | |
| 020461237 | Other | HCVM | |
| 3671 | Other | NH | HEALTHSOURCE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051022000291 | NH | Practitioner - Pathology | 6305862996 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8102 | NH | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1225007891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-433-4907",
"fax_number": "603-433-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAEGERLE",
"first_name": "SONYA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NH",
"license": "8102",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "8102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "0102789Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220017422",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS MAINE",
"identifier": "A0108",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005142",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "020461237",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142110099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "008102",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "E51792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "020461237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "020461237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "3671",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.