NPIMap

Organization Active NPI

Expressmed, LLC

  • Internal Medicine Physician
  • Colebrook, NH
National Provider Identifier
1255845905
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EXPRESSMED, LLC
Practice address
152 Colby Street
Colebrook, NH 03576
Phone
(603) 331-0500
NPI assigned
Nov 16, 2017
Organization subpart
Yes
Parent organization
EXPRESSMED, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Nicholas Vailas
Title
Managing Member
Phone
(603) 622-3670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

152 Colby Street
Colebrook, NH 03576

Mailing address

700 Lake Ave
Ste 2
Manchester, NH 03103
Phone (603) 782-8374

Other names 1

  • North Country Medical and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Expressmed LLC4 organizations share this tax ID, including this one
Part of
Expressmed LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1255845905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "STE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-782-8374",
            "fax_number": "603-782-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 COLBY STREET",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "03576",
            "telephone_number": "603-331-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSMED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPRESSMED, LLC",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "VAILAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "603-622-3670"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.