Active NPI
Joseph Robert Kiernan, MD
- Surgery Physician
- Lancaster, NH
National Provider Identifier
1699852095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LT-2498
- Practice address
- 173 Middle St
Lancaster, NH 03584-3508 - Phone
- (603) 788-4911
- Fax
- (603) 788-5031
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9838 | NH | |
| Surgery Physician | 208600000X | LT-2498 | NH | Primary |
Addresses
Primary practice location
173 Middle St
Lancaster, NH 03584-3508
Mailing address
173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-5029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN1758 | Medicaid | VT | |
| 20147 | Other | CIGNA | |
| 0106607Y0NH03 | Other | ANTHEM | |
| 3073418 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT-2498 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Surgery | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699852095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 MIDDLE ST",
"city": "LANCASTER",
"state": "NH",
"postal_code": "035843508",
"telephone_number": "603-788-5029",
"fax_number": "603-788-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 MIDDLE ST",
"city": "LANCASTER",
"state": "NH",
"postal_code": "035843508",
"telephone_number": "603-788-4911",
"fax_number": "603-788-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "9838",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "LT-2498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN1758",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "20147",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0106607Y0NH03",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073418",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.