Exeter Hampton Diagnostic, Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

02815 Issued in NH

Legal business name

EXETER HAMPTON DIAGNOSTIC, INC

Practice address

65 Lafayette Rd
North Hampton, NH 03862-2480

Phone

(603) 964-3392

Fax

(603) 964-3396

NPI assigned

Nov 1, 2006

Last updated

Feb 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Windt, M.D.NPI 1689625600

Title

Owner

Phone

(603) 964-3392

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Exeter Hampton Diagnostics, Inc

  • Clinical Medical Laboratory
  • North Hampton, NH
  • NPI 1891962411
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Robert Windt, M.D.

  • Allergy & Immunology Physician
  • North Hampton, NH
  • NPI 1689625600
  Authorized official Same address or phone
• Kelly A Kean, ARNP

  • Family Nurse Practitioner
  • North Hampton, NH
  • NPI 1689620916
  NPD (past)
• Erin K McCartney, P.A.

  • Physician Assistant
  • Kingston, NH
  • NPI 1720446693
  NPD (past)
• Steven D Paul, M.D.

  • Internal Medicine Physician
  • Eureka, CA
  • NPI 1467417725
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1396822300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LAFAYETTE RD",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622480",
            "telephone_number": "603-964-3392",
            "fax_number": "603-964-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAFAYETTE RD",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622480",
            "telephone_number": "603-964-3392",
            "fax_number": "603-964-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER HAMPTON DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "WINDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-964-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NH",
            "license": "02815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80008697",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "7608697Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Davisgillette, PH.D.
• Amaya Summer Dodier
• Ashley Duback
• Diane Dubin
• Bonnie L Eckerman, PT
• Exeter Hampton Diagnostics, Inc
• Mitchell Conrad Fleri, PHARMD, RPH
• Full Circle Health, LLC
• Patricia Gianotti, PSY, D.
• Sarah Anne Gozzo, LMT

• Physiological Laboratory in North Hampton, NH
• Providers in North Hampton, NH by specialty
• Physiological Laboratory in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.