Organization Active NPI

My Friend's Gynecologist LLC

  • Medical Specialty Clinic/Center
  • Dover, NH
National Provider Identifier
1568704567
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
10011 Issued in NH
Legal business name
MY FRIEND'S GYNECOLOGIST LLC
Practice address
839 Central Ave
Suite One
Dover, NH 03820-2506
Phone
(603) 516-0000
Fax
(603) 516-5001
NPI assigned
Mar 18, 2013
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. Teresa Marie Vanderlinde, D.O.NPI 1841249927
Title
Managing Partner
Phone
(603) 516-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 10011 NH Primary

Addresses

Primary practice location

839 Central Ave
Suite One
Dover, NH 03820-2506

Mailing address

839 Central Ave
Suite One
Dover, NH 03820-2506
Phone (603) 516-0000

National Provider Directory

National Provider Directory

Locations

839 Central Ave
Ste One
Dover, NH 03820
Phone (603) 516-0000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15009/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1568704567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202506",
            "telephone_number": "603-516-0000",
            "fax_number": "603-516-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202506",
            "telephone_number": "603-516-0000",
            "fax_number": "603-516-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIEND'S GYNECOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "VANDERLINDE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "603-516-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NH",
            "license": "10011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.