Individual provider Active NPI

Walter Arnold Hoerman, MD

  • Pediatrics Physician
  • Portsmouth, NH
National Provider Identifier
1255445516
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7874 Issued in NH
Practice address
200 Griffin Rd Ste 12a
Portsmouth, NH 03801-7145
Phone
(603) 692-4018
Fax
(833) 944-2270
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7874 NH Primary

Addresses

Primary practice location

200 Griffin Rd Ste 12a
Portsmouth, NH 03801-7145

Mailing address

200 Griffin Rd Ste 12a
Portsmouth, NH 03801-7145
Phone (603) 457-7040

Other identifiers 1

IdentifierTypeStateIssuer
3072717MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address walter.hoerman.1@21697.direct.athenahealth.com PMC Medical Group, LLC

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7874NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puddle Dock Pediatrics PLLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1255445516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN RD STE 12A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017145",
            "telephone_number": "603-457-7040",
            "fax_number": "603-550-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN RD STE 12A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017145",
            "telephone_number": "603-692-4018",
            "fax_number": "833-944-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERMAN",
        "first_name": "WALTER",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "7874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072717",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "walter.hoerman.1@21697.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "PMC Medical Group, LLC",
            "address_1": "7 Works Way",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.