Active NPI
Michael J Lannon, MD
- Family Medicine Physician
- Exeter, NH
National Provider Identifier
1386602522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5637
- Practice address
- 19 Hampton Rd
Exeter, NH 03833-4838 - Phone
- (603) 778-1752
- Fax
- (603) 772-1493
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5637 | NH | Primary |
Addresses
Primary practice location
19 Hampton Rd
Exeter, NH 03833-4838
Mailing address
PO Box 655
Exeter, NH 03833-0655
Phone (603) 778-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82084214 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5637 | NH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1386602522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "EXETER",
"state": "NH",
"postal_code": "038330655",
"telephone_number": "603-778-1752",
"fax_number": "603-778-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HAMPTON RD",
"city": "EXETER",
"state": "NH",
"postal_code": "038334838",
"telephone_number": "603-778-1752",
"fax_number": "603-772-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANNON",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "5637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82084214",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.