Ron Abraham, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH
NPI 1629838941 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1629838941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Medical Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719003279 | NH | Order and Referring Only - Neurology |
0042756538 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Medical Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other providers in Lebanon, NH
- Mohamed Abdulkarim Mohamed Abdulrahim
- Iryna Aberkorn
- Alexander T. Abess
- Majd Aboul Hosn
- Nigel Dennis Abraham
- Denise Abrahamsen
- Leah E Abrahamsen
- Jessica Abreu-Garcia
- Wahid Abu-Amer
- Indira Acharya
All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.