Individual provider Active NPI

J Gavin Muir, MD

  • Family Medicine Physician
  • Manchester, NH
National Provider Identifier
1629071899
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10308 Issued in NH
Practice address
145 Hollis St
Manchester, NH 03101-1235
Phone
(603) 626-9500
Fax
(603) 626-0899
NPI assigned
May 23, 2005
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10308 NH Primary

Addresses

Primary practice location

145 Hollis St
Manchester, NH 03101-1235

Mailing address

145 Hollis St
Manchester, NH 03101-1235
Phone (603) 626-9500

Other identifiers 1

IdentifierTypeStateIssuer
30201968MedicaidNH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050201000708 NH Practitioner - Family Practice 6204887847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag HealthGroup PAC ID 8527038421, 30 clinicians

Practice addresses (Care Compare)

184 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 626-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10308NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Health Current Accepting new patients
Amoskeag Health CurrentSince May 1, 2008 Accepting new patients
Amoskeag Health CurrentSince May 1, 2008 Accepting new patients
Amoskeag Health Past Accepting new patients
NH Eye Associates PLLC Past Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

1 Crusader Way
Rm 331
Manchester, NH 03103

100 Gerald Connors Cir
Manchester, NH 03103
Phone (603) 624-6490

1245 Elm St
Manchester, NH 03101
Phone (603) 668-6629

1415 Elm St
Manchester, NH 03101
Phone (603) 669-3925

145 Hollis St
Manchester, NH 03101

145 Hollis St
Fl 2
Manchester, NH 03101

1555 Elm St
Manchester, NH 03101
Phone 60366841115269

184 Tarrytown Rd
Manchester, NH 03103
Phone (603) 627-1102

20 Elm St
Rm 15
Manchester, NH 03101

201 Jack Lovering Dr
Manchester, NH 03109
Phone (603) 628-6247

300 S Jewett St
Manchester, NH 03103

333 Beech St
Rm Ssc
Manchester, NH 03103

535 Beech St
Rm 714
Manchester, NH 03104

75 Parkside Ave
Manchester, NH 03102
Phone (603) 624-6356

88 McGregor St
Ste 302
Manchester, NH 03102
Phone (603) 622-8800

9 Notre Dame Ave
Rm 104B
Manchester, NH 03102

Interoperability endpoints

  • Direct secure messaging: gavin.muir.1@28516.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1629071899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "J GAVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201968",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.