Individual provider Active NPI

Christopher A. Palentchar

  • Physician Assistant
  • Conway, NH
National Provider Identifier
1669940045
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1454 Issued in NH
Practice address
7 Greenwood Ave
Conway, NH 03818-6130
Phone
(603) 447-3500
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1454 NH Primary

Addresses

Primary practice location

7 Greenwood Ave
Conway, NH 03818-6130

Mailing address

7 Greenwood Ave
Conway, NH 03818-6130
Phone (603) 447-3500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404001094 NH Practitioner - Physician Assistant 3375884190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco River Medical Group, PCGroup PAC ID 7911817291, 11 clinicians

Practice addresses (Care Compare)

7 Greenwood Ave
Conway, NH 03818-6130
Phone (603) 447-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1454NHMDDentist

Interoperability endpoints

  • Direct secure messaging: christopher.palentchar.1@20740.direct.athenahealth.com

Organizations & group practices 1

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 6

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1669940045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENWOOD AVE",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186130",
            "telephone_number": "603-447-3500",
            "fax_number": "603-447-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GREENWOOD AVE",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186130",
            "telephone_number": "603-447-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENTCHAR",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

Verify at the official NPI Registry.