John J Fothergill, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7838 Issued in NH

Practice address

152 Colby St
Colebrook, NH 03576-3049

Phone

(603) 331-0500

Fax

(603) 237-8100

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jfothergill@ncmawl-nh.direct.office.nextgen.com

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1336198175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 COLBY ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763049",
            "telephone_number": "603-331-0500",
            "fax_number": "603-237-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 COLBY ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763049",
            "telephone_number": "603-331-0500",
            "fax_number": "603-237-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTHERGILL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "7838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "A66441",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NH",
            "identifier": "0105409YPNH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC PROVIDER #",
            "identifier": "NH9636",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1533376",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT MEDICAID",
            "identifier": "1012501",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002405",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "00008076",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "11819",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5225563",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIES FIRST",
            "identifier": "8001191",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan H Drum, OD
• Taylor Dupont
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• Expressmed, LLC (North Country Medical and Wellness)
• Margaret R Fitzgerald, ANP
• Amy Elizabeth Frank, BA
• Phil Michael Freudenberger Jr., LMT
• Robert William Gooch Jr.
• John Carmelo Gramuglia, LICSW
• Jill Gregoire, RN, CEN, TCRN, CCRN

• Internal Medicine Physician in Colebrook, NH
• Providers in Colebrook, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.