Robert G Soucy Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8182 Issued in NH

Practice address

9 Oakes Rd
Colebrook, NH 03576-6117

Phone

(603) 237-5008

Fax

(281) 393-4203

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22109/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: robert.soucy@ishc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Soucy DO LLC

  • Family Medicine Physician
  • Colebrook, NH
  • NPI 1104252006
  NPD (past) Authorized official
• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1609857747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OAKES RD",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035766117",
            "telephone_number": "603-237-5008",
            "fax_number": "281-393-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 OAKES RD",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035766117",
            "telephone_number": "603-237-5008",
            "fax_number": "281-393-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Pleasant St Suite 1",
            "address_purpose": "LOCATION",
            "city": "Colebrook",
            "state": "NH",
            "postal_code": "03576",
            "country_code": "US",
            "telephone_number": "603-237-4579",
            "fax_number": "603-237-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "8182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000101",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "0405411Y0NH02",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094399",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VTBLUE",
            "identifier": "8080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "21211",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "341982",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "80159325",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002940",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A78574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "0405411Y0NH03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan James Rossitto, PHARM. D
• Kristi Ann Samson-Smith, RN
• Irene Grace Simons, LCMHC, LPC, MA
• Stacey Lynne Smith, LICSW
• Kay Soucy
• William John Spina, MD
• Monica C Stevens, NH-CM
• Dean A Stockwell
• Delanie Rae Stone, WAIVERED
• Tiffany Sweatt, MS RD LD

• Family Medicine Physician in Colebrook, NH
• Providers in Colebrook, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.