Active NPI
John P. Athans, M.D.
- Anatomic Pathology Physician
- Somersworth, NH
National Provider Identifier
1407847528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 43036
- Practice address
- 255 Route 108
Somersworth, NH 03878-1543 - Phone
- (603) 841-2301
- Fax
- (603) 692-1081
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 43036 | MA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 43036 | MA |
Addresses
Primary practice location
255 Route 108
Somersworth, NH 03878-1543
Mailing address
7 Works Way
Somersworth, NH 03878-1639
Phone (603) 841-2301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110211 | Medicaid | MA | |
| 001435066 | Medicaid | CT | |
| 3111926 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670 | NH | MD | Mental Health Counselor |
| 43036 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1407847528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WORKS WAY",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781639",
"telephone_number": "603-841-2301",
"fax_number": "603-692-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781543",
"telephone_number": "603-841-2301",
"fax_number": "603-692-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHANS",
"first_name": "JOHN",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "43036",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "43036",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2110211",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001435066",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3111926",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somersworth, NH
- Gregory Paul Andrecyk, MD
- Apollo Medical Group of Wentworth PLLC
- Gregory Robert Aprilliano, CRNA, APRN
- Alexander Harris Asch, D.O.
- Ruth M Ashley, COTA/L
- Atlantic Anesthesia, PA (Seacoast Pain Institute)
- Atlantic Digestive Specialists, PLLC
- Avenir Ventures, L.L.C. (Amedisys Palliative Care)
- Jodie Aviles
- Avis Goodwin Community Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.