Appledore Medical Group Dba Woodbury Family Practice
Organization Active NPI Family Medicine Physician · Newington, NH
NPI 1225232184 · NPPES record last updated Aug 8, 2007
Key facts
- NPI
- 1225232184
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- APPLEDORE MEDICAL GROUP DBA WOODBURY FAMILY PRACTICE
- Practice address
- 101 Shattuck Way
Suite 6
Newington, NH 03801-7876 - Phone
- (603) 430-0060
- Fax
- (866) 835-8949
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Kenneth Washington
- Title
- Vice President
- Phone
- (703) 650-2907
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 9
Member of 1
Practitioners 71
-
Hannah E Boutselis, APRN
-
Adrienne S Capen, PA-C
-
Kimberlee I Chute, PA-C
-
Kendra Cline, APRN
-
Nicole Cruz, MSN, APRN, FNP-C
-
Gareth Davies, M.D.
-
Ashlynn Fogg, APRN
-
Karissa N Fox Koscheski, PA-C
-
Tara K Fraser, PA-C
-
Irene Gablosky, LCMHC
-
Sanjay Godara, MD
-
Sunila Jo, MD
-
Danielle Lemieux, APRN-BC
-
Joseph Mangum, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601000165 | NH | Part B Supplier - Clinic/Group Practice | 5698666154 |
Receives reassigned benefits from 238 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Appledore Medical Group Inc
Locations
57 Webster St
Ste 110
Manchester, NH 03104
Phone (603) 622-6491
25 New Hampshire Ave
Ste 100
Portsmouth, NH 03801
Phone (603) 431-2516
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
101 Shattuck Way
Suite 6
Newington, NH 03801-7876
Mailing address
101 Shattuck Way
Suite 6
Newington, NH 03801-7876
Phone (603) 430-0060
Other names
- Woodbury Family Practice
Other providers in Newington, NH
- Karen L Adams
- Lauren Alexander
- Maryssa A Allen
- Aphazone Unit, LLC
- Apollo Medical Group of Portsmouth PLLC
- Appledore Medical Group DO Not Use
- Appledore Medical Group, Inc.
- Au Blanc NH PLLC
- Christine Lee Austin Campbell
- Daniel Bentall
All providers in Newington, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.