Ella Anne Damiano
Individual provider Active NPI Obstetrics & Gynecology Physician · Lebanon, NH
NPI 1356738538 · NPPES record last updated Oct 31, 2019
Key facts
- NPI
- 1356738538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 19711 (NH)
- Practice address
- 1 Medical Center Dr
DHMC
Lebanon, NH 03756-1000 - Phone
- (203) 561-2609
- NPI assigned
- Apr 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Warren Alpert Medical School of Brown University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dartmouth-Hitchcock Clinic
Mary Hitchcock Memorial Hospital
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
590 Court St
Keene, NH 03431-1719
Phone (603) 354-4000
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.39 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191002000033 | NH | Practitioner - Obstetrics/Gynecology | 7618275462 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19711 | NH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Cheshire Medical Center | Current | Accepting new patients | |
| Cheshire Medical Center | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
580 Court St
Keene, NH 03431
Phone (603) 354-5454
590 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
Interoperability endpoints
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
- edamiano173979@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19711 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
DHMC
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-0001
Other providers in Lebanon, NH
- Jonathan Daley
- Taylor Daley
- Claudia Dalterio
- Erin Dalton
- Brendan Dundurs Daly
- Joseph Damron
- Jamil W Danaf
- Michael G Danis
- Elizabeth Williamson Dann
- Jacob Lester Darley
All providers in Lebanon, NH · Obstetrics & Gynecology 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 Oct 31, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.