Active NPI
Mark Mooradian, PA-C
- Physician Assistant
- Somersworth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1180
- Practice address
- 7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523 - Phone
- (603) 742-2007
- NPI assigned
- Mar 2, 2015
- Last updated
- Feb 2, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1509 | ME | |
| Physician Assistant | 363A00000X | 1180 | NH | Primary |
Addresses
Primary practice location
7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523
Mailing address
PO Box 412503
Boston, MA 02241-7128
Other practice location 1
333 Borthwick Ave
Suite 301
Portsmouth, NH 03801-7128
Phone (603) 431-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3128069 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
67 Corporate Dr
Portsmouth, NH 03801-2847
7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222
73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075
789 Central Ave
Dover, NH 03820-2526
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients | |
| Pace Inc. | Past | Accepting new patients |
Locations
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732
7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- mark.mooradian@hca6.eclinicaldirectplus.com
- mooradian.mark.wdh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Exclusive Provider Organization
- Portsmouth, NH
- NPI 1780183053
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1417349382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412503",
"city": "BOSTON",
"state": "MA",
"postal_code": "022417128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MARSH BROOK DR STE 205",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038786523",
"telephone_number": "603-742-2007"
}
],
"practiceLocations": [
{
"address_1": "333 Borthwick Ave",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038017128",
"country_code": "US",
"telephone_number": "603-431-5858",
"fax_number": "603-431-5818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORADIAN",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1509",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128069",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.