Appledore Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

APPLEDORE MEDICAL GROUP, INC.

Practice address

330 Borthwick Ave
Suite 101
Portsmouth, NH 03801-4174

Phone

(603) 433-8434

NPI assigned

Jun 8, 2006

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Washington

Title

VP

Phone

(703) 650-2907

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Appledore Medical Group Dba Woodbury Family Practice

  dba Woodbury Family Practice

  • Family Medicine Physician
  • Newington, NH
  • NPI 1225232184

  O20040601000165

  Same enrollment
• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167

  O20040601000165

  Same enrollment
• Appledore Medical Group, Inc.

  dba dba North Hampton Family Practice

  • Family Medicine Physician
  • North Hampton, NH
  • NPI 1174512693

  O20040601000165

  Same enrollment

Practitioners 5

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.

• Alison Marie Clark, MD

  • Hospitalist Physician
  • Dover, NH
  • NPI 1205820248
  NPD (past)
• Jennifer G Cogan, LCMHC

  • Mental Health Counselor
  • Portsmouth, NH
  • NPI 1417104852
  NPD (past)
• Dorothy B. McGrath, PA-C

  • Physician Assistant
  • Portsmouth, NH
  • NPI 1780641332

  Internal Medicine

  NPD (past)
• Tracy A O'Hara, M.D.

  • Hospitalist Physician
  • Beverly, MA
  • NPI 1841399763

  Internal Medicine

  NPD (past)
• Timothy S Pike, DO

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1629062666
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1619918265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-433-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-433-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEDORE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30213395",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142350000",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Appledore Medical Group Inc
• Appledore Medical Group Inc (PRH Hospitalists)
• Appledore Medical Group-Diabetes Resource Center
• Appledore Medical Group, Inc
• Appledore Medical Group, Inc
• Appledore Medical GRP II, Inc. (Coastal Cardiothoracic and Vascular Associates)
• Apria Healthcare LLC
• Arc of New Hampshire, LLC
• Janet Lynn Archambault, MSN, ARNP, BSN
• Siobhan Maureen Arey, PA

• Internal Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.