NPIMap

Individual provider Active NPI

Jason D Doran, PA-C

  • Physician Assistant
  • Somersworth, NH
National Provider Identifier
1730140104
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0528 P Issued in NH
Practice address
7 Marsh Brook Dr
Suite 100
Somersworth, NH 03878-6523
Phone
(603) 742-2007
Fax
(603) 749-4605
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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 0528 P NH Primary

Addresses

Primary practice location

7 Marsh Brook Dr
Suite 100
Somersworth, NH 03878-6523

Mailing address

7 Marsh Brook Dr
Suite 205
Somersworth, NH 03878-6523
Phone (603) 742-2007

Other identifiers 1

IdentifierTypeStateIssuer
3079297MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001110 NH Practitioner - Physician Assistant 1153390919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703

67 Corporate Dr
Portsmouth, NH 03801-2847

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222

73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

  • Cornerstone Vna Home health agency, Rochester, NH, CCN 307022
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0528 PNHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Oct 26, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 26, 2019 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
Northeast Medical Consultants PC Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Phone (603) 740-6510

7 Marsh Brook Dr
Ste 100
Somersworth, NH 03878

Interoperability endpoints

  • Direct secure messaging: doran.jason.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1730140104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR",
            "address_2": "SUITE 205",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-742-2007",
            "fax_number": "603-749-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR",
            "address_2": "SUITE 100",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-742-2007",
            "fax_number": "603-749-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0528 P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079297",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.