Active NPI
Jerald Ward, MD
- Hospitalist Physician
- Lebanon, NH
National Provider Identifier
1235194994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 12683
- Practice address
- 10 Alice Peck Day Dr
Lebanon, NH 03766-2694 - Phone
- (603) 448-3121
- Fax
- (603) 448-7462
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12683 | NH | |
| Hospitalist Physician | 208M00000X | 12683 | NH | Primary |
Addresses
Primary practice location
10 Alice Peck Day Dr
Lebanon, NH 03766-2694
Mailing address
10 Alice Peck Day Dr
Lebanon, NH 03766-2694
Phone (603) 448-3121
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020473740 | Other | NH | TRICARE |
| 020473740 | Other | NH | GREAT WEST HEALTHCARE |
| 020473740 | Other | NH | HUMANA CHOICE CARE NETWOR |
| 1367002 | Other | NH | CIGNA |
| 3968512 | Other | NH | AETNA |
| 00000834 | Medicaid | NH | |
| 0101506YOVT02 | Other | NH | ANTHEM |
| 020473740 | Other | NH | UNITED HEALTHCARE |
| 020473740 | Other | NH | PRIVATE HEALTHCARE SYSTEM |
| D03208 | Other | NH | HARVARD PILGRIM |
| 020473740 | Other | NH | HEALTHCARE VALUE MGMT |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Hospitalists Services of NH, Inc | Internal Medicine | Past | Accepting new patients |
| Central Vermont Medical Center Inc | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group Vermont PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1235197476
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1114092459
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1235194994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662694",
"telephone_number": "603-448-3121",
"fax_number": "603-448-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662694",
"telephone_number": "603-448-3121",
"fax_number": "603-448-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "12683",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "12683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "020473740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "020473740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA CHOICE CARE NETWOR",
"identifier": "020473740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1367002",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3968512",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000834",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0101506YOVT02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "020473740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "020473740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "D03208",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MGMT",
"identifier": "020473740",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.