Active NPI
Speare Memorial Hospital
- Family Medicine Physician
- Plymouth, NH
National Provider Identifier
1487943700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SPEARE MEMORIAL HOSPITAL
- Practice address
- 16 Hospital Rd
Plymouth, NH 03264-1126 - Phone
- (603) 536-1120
- NPI assigned
- Apr 7, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michelle McEwen
- Title
- Ceo
- Phone
- (603) 536-1120
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Plymouth, NH
- NPI 1033229596
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
16 Hospital Rd
Plymouth, NH 03264-1126
Mailing address
PO Box 32
Andover, NH 03216-0032
Phone (603) 735-6060
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30218836 | Medicaid | NH |
Other names 1
NPPES NPI Registry- Gennaro Family Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2011.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1487943700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "ANDOVER",
"state": "NH",
"postal_code": "032160032",
"telephone_number": "603-735-6060",
"fax_number": "877-521-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HOSPITAL RD",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032641126",
"telephone_number": "603-536-1120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEARE MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "MCEWEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-536-1120"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30218836",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gennaro Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.