Individual provider Active NPI

John M O'Day, M.D.

  • Otolaryngology Physician
  • Somersworth, NH
National Provider Identifier
1508880964
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5507 Issued in NH
Practice address
361 High St
Somersworth, NH 03878-1407
Phone
(603) 692-4500
Fax
(603) 692-4520
NPI assigned
Jul 27, 2006
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5507 NH Primary
Facial Plastic Surgery Physician 207YS0123X 5507 NH
Sleep Medicine (Otolaryngology) Physician 207YS0012X 5507 NH

Addresses

Primary practice location

361 High St
Somersworth, NH 03878-1407

Mailing address

361 High St
Somersworth, NH 03878-1407
Phone (603) 692-4500

Other identifiers 1

IdentifierTypeStateIssuer
80004416MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000362 NH Practitioner - OtolaryngologyPractitioner - Other (Physician) 2062460405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5507NHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jun 12, 2017 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 12, 2017 Accepting new patients

Locations

10 Members Way
Ste 100
Dover, NH 03820

10 Members Way
Ste 303
Dover, NH 03820
Phone (603) 516-4256

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

361 High St
Somersworth, NH 03878
Phone (603) 692-4500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1508880964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HIGH ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781407",
            "telephone_number": "603-692-4500",
            "fax_number": "603-692-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HIGH ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781407",
            "telephone_number": "603-692-4500",
            "fax_number": "603-692-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DAY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "5507",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NH",
            "license": "5507",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NH",
            "license": "5507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80004416",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.