Individual provider Active NPI

Morice P. Dennery, M.D.

  • Urology Physician
  • North Conway, NH
National Provider Identifier
1386667251
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
11621 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860-5111
Phone
(603) 356-5472
Fax
(603) 356-2604
NPI assigned
Jul 25, 2006
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 11621 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860-5111

Mailing address

PO Box 2540
North Conway, NH 03860-2540
Phone (603) 356-5472

Other identifiers 3

IdentifierTypeStateIssuer
RE7915OtherNHAVH SURGICAL ASSOCIATES
30203647MedicaidNH
NH0022OtherNHANDROSCOGGIN VALLEY HOSPITAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000108 NH Practitioner - Urology 4981618964 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians
Memorial HospitalGroup PAC ID 2365418993, 79 clinicians
Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

3 Alumni Dr
Suite 204
Exeter, NH 03833-2122
Phone (603) 658-1277

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11621NHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince Mar 1, 2022 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Core Physicians, LLC Urology CurrentSince Mar 1, 2022 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Dec 1, 2010 Accepting new patients
Memorial Hospital CurrentSince Jul 1, 2006 Accepting new patients
Memorial Hospital CurrentSince Jul 1, 2006 Accepting new patients
MWV Health Care Assoc Past Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients
The Memorial Hospital Urology Past Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

3 Alumni Dr
Ste 204
Exeter, NH 03833
Phone (603) 658-1277

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Ste 204
Exeter, NH 03833

7 Holland Way
#1
Exeter, NH 03833

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

3073 White Mountain Hwy
#B
North Conway, NH 03860

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mdennery562214@direct.bilh.masshiway.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1386667251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2540",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038602540",
            "telephone_number": "603-356-5472",
            "fax_number": "603-356-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-356-5472",
            "fax_number": "603-356-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNERY",
        "first_name": "MORICE",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "11621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVH SURGICAL ASSOCIATES",
            "identifier": "RE7915",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203647",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDROSCOGGIN VALLEY HOSPITAL",
            "identifier": "NH0022",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.