Chandler W Marietta, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

15543 Issued in NH

Practice address

85 Spring Street
ENT Associates of New Hampshire
Laconia, NH 03246-3113

Phone

(603) 524-7402

Fax

(603) 524-0945

NPI assigned

Jul 31, 2006

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Otolaryngology

Education

University of Rochester School of Medicine and Dentistry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Concord Hospital, Inc.

  dba Concord Hospital Medical Associates

  • Emergency Medicine Physician
  • Concord, NH
  • NPI 1194778571
  Medicare reassignment Care Compare group NPD
• Lrghealthcare

  dba LRGH Professional Billing Services

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1700976032
  Medicare reassignment NPD
• Concord Hospital-Franklin

  dba Concord Hospital-Franklin Swing Bed

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD
• Concord Hospital, Inc.

  dba Concord Hospital Psychiatric Unit

  • Psychiatric Hospital Unit
  • Concord, NH
  • NPI 1124070966
  NPD
• Concord Hospital, Inc.

  dba Concord Hospital Physician Group

  • General Practice Physician
  • Concord, NH
  • NPI 1801840764
  NPD
• Concord Hospital-Laconia

  dba Concord Hospital Dental Center-Laconia

  • Dental Clinic/Center
  • Laconia, NH
  • NPI 1134226327
  NPD (past)
• Lrghealthcare

  dba ENT Associates of NH, A Dept of Lakes Region General Hospital

  • Otolaryngology Physician
  • Laconia, NH
  • NPI 1194016162
  NPD (past)
• Paparella Ear Head & Neck Institute PA

  • Otolaryngology Physician
  • Minneapolis, MN
  • NPI 1881687119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1568477982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402",
            "fax_number": "603-524-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING STREET",
            "address_2": "ENT ASSOCIATES OF NEW HAMPSHIRE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402",
            "fax_number": "603-524-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9150",
            "fax_number": "603-227-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIETTA",
        "first_name": "CHANDLER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "T0557",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "104228",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "15543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15543",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077638",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micahel R Major, MS.,LCMHC
• Nadia A Malik, MD
• Jason Rafaele Mangiardi, M.D.
• Donna Manna
• Denise Valerie Marden, MSW
• Craig Markert, MD
• Rebecca Lynn Marshall, BA
• Stephen D Marshall, MD
• Alyssia Nicole Martin
• Ben Israel Martin, MSW

• Otolaryngology Physician in Laconia, NH
• Providers in Laconia, NH by specialty
• Otolaryngology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.