Organization Active NPI

Monadnock OBGYN Associates PA

  • Obstetrics Physician
  • Peterborough, NH
National Provider Identifier
1447476239
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
NH7814 Issued in NH
Legal business name
MONADNOCK OBGYN ASSOCIATES PA
Practice address
454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200
Phone
(603) 924-9444
Fax
(603) 924-8709
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Lauren B Lebrun
Title
Billing Clerk
Phone
(603) 924-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X NH7814 NH Primary

Addresses

Primary practice location

454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200

Mailing address

454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200
Phone (603) 924-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000678 NH Part B Supplier - Clinic/Group Practice 9234114240 Receives reassigned benefits from 3 practitioners
Practice locations: Peterborough, NH

National Provider Directory

National Provider Directory

Locations

454 Old Street Rd
Ste 302
Peterborough, NH 03458
Phone (603) 759-1491

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1447476239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 302",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9444",
            "fax_number": "603-924-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 302",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9444",
            "fax_number": "603-924-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK OBGYN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "LEBRUN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "603-924-9444"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NH",
            "license": "NH7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.