NPIMap

Organization Active NPI

Lrghealthcare

Doing business as LRGH Professional Billing Services

  • Family Medicine Physician
  • Laconia, NH
National Provider Identifier
1700976032
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LRGHEALTHCARE
Doing business as
LRGH Professional Billing Services
Practice address
85 Spring St
Laconia, NH 03246-3113
Phone
(603) 524-3211
NPI assigned
Oct 16, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LRGHEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Kevin W Donovan
Title
President/Ceo
Phone
(603) 524-3211

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Family Medicine Physician 207Q00000X NH Primary
Internal Medicine Physician 207R00000X NH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NH
Hematology & Oncology Physician 207RH0003X NH
Pulmonary Disease Physician 207RP1001X NH
Obstetrics & Gynecology Physician 207V00000X NH
Pediatrics Physician 208000000X NH
Vascular Surgery Physician 2086S0129X NH
Urology Physician 208800000X

Addresses

Primary practice location

85 Spring St
Laconia, NH 03246-3113

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211

Other identifiers 3

IdentifierTypeStateIssuer
LRGH703507OtherNHANTHEM
3076749MedicaidNH
59780OtherNHCIGNA

Other names 1

  • LRGH Professional Billing Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000982 NH Part B Supplier - Clinic/Group Practice 8820908189 Receives reassigned benefits from 185 practitioners
2 other NPIs on this enrollment
Practice locations: Wolfeboro, NH; Plymouth, NH; North Conway, NH; Meredith, NH; Laconia, NH; Gilford, NH; Franklin, NH; Conway, NH…

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Lakes Region Genl Hospd

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

  • Concord Hospital-Franklin

    dba Concord Hospital Primary Care-Franklin

    • Rural Health Clinic/Center
    • Franklin, NH
    • NPI 1689764912

    Member Of

    NPD member
  • Hillside ASC LLC

    dba Hillside Surgery Center

    • Ambulatory Surgical Clinic/Center
    • Gilford, NH
    • NPI 1770714388

    Member Of

    NPD member
  • LRG Healthcare
    • Ambulatory Surgical Clinic/Center
    • Laconia, NH
    • NPI 1942388327

    Member Of

    NPD member
  • Lrghealthcare

    dba Newfound Family Practice

    • Rural Health Clinic/Center
    • Bristol, NH
    • NPI 1023108354

    Member Of

    NPD member
  • Lrghealthcare

    dba Lakes Region General Hospital Professional Service

    • Emergency Medicine Physician
    • Laconia, NH
    • NPI 1922184928

    Member Of

    NPD member
  • Lrghealthcare

    dba Franklin Regional Hospital Professional Fees

    • Emergency Medicine Physician
    • Franklin, NH
    • NPI 1962581884

    Member Of

    NPD member

Locations

25 Country Club Rd
#702W1
Gilford, NH 03249

Practitioners & affiliated clinicians

Practitioners 191

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.

View all 191

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1700976032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRGHEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LRGHEALTHCARE",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "603-524-3211"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "LRGH703507",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076749",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "59780",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LRGH Professional Billing Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LRGH Professional Billing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.