NPIMap

Organization Active NPI

Aesthetic Medicine of NH

  • Family Medicine Physician
  • Concord, NH
National Provider Identifier
1710133087
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6630 Issued in NH
Legal business name
AESTHETIC MEDICINE OF NH
Practice address
194 Pleasant St
Suite 12
Concord, NH 03301-2952
Phone
(603) 224-0808
Fax
(603) 224-0853
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Nicholas Paul Van Loan, M.D.
Title
Business Owner
Phone
(603) 224-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 6630 NH Primary

Addresses

Primary practice location

194 Pleasant St
Suite 12
Concord, NH 03301-2952

Mailing address

194 Pleasant St
Suite 12
Concord, NH 03301-2952
Phone (603) 224-0808

National Provider Directory

National Provider Directory

Locations

194 Pleasant St
Ste 12
Concord, NH 03301
Phone (603) 224-0808

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1710133087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PLEASANT ST",
            "address_2": "SUITE 12",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012952",
            "telephone_number": "603-224-0808",
            "fax_number": "603-224-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PLEASANT ST",
            "address_2": "SUITE 12",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012952",
            "telephone_number": "603-224-0808",
            "fax_number": "603-224-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC MEDICINE OF NH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "VAN LOAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "603-224-0808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "6630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.