Seacoast Anesthesia PA
Organization Active NPI Anesthesiology Physician · Exeter, NH
NPI 1457306367 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1457306367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- SEACOAST ANESTHESIA PA
- Practice address
- 5 Alumni Dr
Anesthesia Department
Exeter, NH 03833-2128 - Phone
- (603) 580-6624
- Fax
- (603) 580-6620
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- C. David London, M.D.
- Title
- Chairman
- Phone
- (603) 580-6624
Practitioners 18
-
Marc Bozenski, CRNA
-
Bryan C Bridges, MD
-
Sean Burns, M.D.
-
Allen Carignan, M.D.
-
Charles D London, M.D.
-
Jennifer McIntyre, CRNA
-
Young S Park, MD
-
Timothy M Poutre, MD
-
Jennifer Reed Clark, CRNA
-
Erin M Todd, CRNA
-
Keith Weston, MD
-
Diane Wiley, CRNA
-
Michael Angeloro, CRNA
-
Peggy Anne Ashley, CRNA
-
James K Eckert, CRNA
-
Jayne Fisher, CRNA
-
Charmaine M. Kovacs, CRNA
-
Thomas G Tyner, CRNA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X |
Addresses
Primary practice location
5 Alumni Dr
Anesthesia Department
Exeter, NH 03833-2128
Mailing address
PO Box 845575
Boston, MA 02284-5575
Phone (800) 720-1664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF9897 | Other | RAILROAD MEDICARE | |
| 82056866 | Medicaid | NH |
Other providers in Exeter, NH
- Laura Beth Sawyer
- Michael B Schaffer
- Kathryn Linda Schwartz
- Robin S Scott
- Seacare Health Services
- Seacoast Gastroenterology
- Seacoast Hospice
- Seacoast Pathology Inc
- Seacoast Pathology Inc
- Seacoast Pathology, Inc.
All providers in Exeter, NH · Anesthesiology 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 Sep 15, 2008. 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.