Thomas J Antisdel – Obstetrics & Gynecology Physician

Key facts

NPI: 1396701769
Entity type: Individual (NPI type 1)
Primary specialty: Obstetrics & Gynecology Physician 207V00000X
License: 6965 (NH)
Practice address: 44 Birch St
Ste 200
Derry, NH 03038-2752
Phone: (603) 421-2526
Fax: (603) 421-2568
NPI assigned: Apr 25, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Parkland Physician Services Inc Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician · Derry, NH · NPI 1740409556

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Parkland Physician Services Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Obstetrics & Gynecology Physician	207V00000X	6965	NH	Yes

Addresses

Primary practice location

44 Birch St
Ste 200
Derry, NH 03038-2752

Mailing address

44 Birch St
Ste 200
Derry, NH 03038-2752
Phone (603) 421-2526

Other identifiers

Identifier	Type	State	Issuer
3078313	Medicaid	NH

Other providers in Derry, NH

All providers in Derry, 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 Apr 21, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.