Cheshire Medical Center
Organization Active NPI Family Medicine Physician · Keene, NH
NPI 1306349444 · NPPES record last updated Apr 10, 2019
Key facts
- NPI
- 1306349444
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHESHIRE MEDICAL CENTER
- Practice address
- 590 Court St
Keene, NH 03431-1719 - Phone
- (603) 354-5400
- NPI assigned
- Mar 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Gary Wood
- Title
- Director, Revenue Cycle
- Phone
- (603) 354-5454
Other NPIs on the same Medicare enrollment 1
Practitioners 301
-
McCall Marie Abbott, APRN
-
Katelyn J. Ahern, APRN
-
Tricia Aiston, APRN
-
Fredrik Amell, MD
-
Matthew Vincent Anderson, M.D.
-
Daniel S Aridgides, M.D. PH.D.
-
Melinda L Asbury, M.D., PH.D.
-
Carlye Elizabeth Atkinson, MSN, CNM
-
Janet Irene Aug, O.D.
-
Payson Ayer-Dufner, PA-C
-
Reuben Baker, MD
-
Barbara Bates, M.D.
-
Matthew John Batis II, PA-C
-
Leah Beland, APRN
-
Anna Leigh Benvenuto, M.D.
-
Rachael Sara Berube, ANP
-
Haris Bilal, M.D.
-
Marion Boardman, CNM
-
Julie A Braga, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070913000090 | NH | Part B Supplier - Clinic/Group Practice | 1456260165 |
Receives reassigned benefits from 476 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winchester, NH; Walpole, NH; Keene, NH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Rheumatology Physician |
207RR0500X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Diagnostic Radiology Physician |
2085R0202X |
Addresses
Primary practice location
590 Court St
Keene, NH 03431-1719
Mailing address
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115310 | Medicaid | NH |
Other names
- CHESHIRE MEDICAL CENTER PROFESSIONAL SERVICES
Other providers in Keene, NH
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
- Cheshire Medical Center
All providers in Keene, 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 Apr 10, 2019. 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.