NPIMap

Organization Active NPI

Access Sports Medicine & Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Exeter, NH
National Provider Identifier
1508938614
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ACCESS SPORTS MEDICINE & ORTHOPAEDICS, PLLC
Practice address
1 Hampton Rd
Suite 200
Exeter, NH 03833-4855
Phone
(603) 775-7575
Fax
(603) 778-9680
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Joshua Siegel, M.D.NPI 1447323761
Title
President
Phone
(603) 775-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1 Hampton Rd
Suite 200
Exeter, NH 03833-4855

Mailing address

1 Hampton Rd
Suite 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Other identifiers 6

IdentifierTypeStateIssuer
468OtherCIGNA NH
82204111MedicaidNH
0012254OtherAETNA
100833000OtherUS DEPARTMENT OF LABOR
ACCE204111OtherANTHEM BS
CEO168OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000054 NH Part B Supplier - Clinic/Group Practice 4082512611 Receives reassigned benefits from 38 practitioners
Practice locations: Exeter, NH
O20100930022423 NH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4082512611 Practice locations: Exeter, NH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

155 Borthwick Ave
Ste 102
Portsmouth, NH 03801
Phone (603) 431-3575

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1508938614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334855",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334855",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS SPORTS MEDICINE & ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-775-7575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NH",
            "identifier": "468",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82204111",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0012254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "100833000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "ACCE204111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CEO168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.