Individual provider Active NPI

Matthew Scott Chouinard

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1790474237
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14 Manchester SQ Ste 210
Portsmouth, NH 03801-7905
Phone
(207) 475-0100
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 Primary

Addresses

Primary practice location

14 Manchester SQ Ste 210
Portsmouth, NH 03801-7905

Mailing address

35 Walker St Ste 200
Kittery, ME 03904-1727
Phone (207) 475-0100

Other practice location 1

35 Walker St Ste 200
Kittery, ME 03904-1727
Phone (207) 475-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231013000699 NH Practitioner - Physician Assistant 2961857701 Reassigns benefits to 1 organization
I20231117002029 ME Practitioner - Physician Assistant 2961857701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Ear, Nose and Throat, LLC 11 clinicians

Practice addresses (Care Compare)

14 Manchester SQ
Suite 210
Portsmouth, NH 03801-7905
Phone (207) 475-0100

35 Walker St
Kittery, ME 03904-1727
Phone (207) 351-3525

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • York Hospital Hospital, York, ME, CCN 200020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2062NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Balanced, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

35 Walker St
#200
Kittery, ME 03904
Phone (207) 351-3525

Organizations & group practices 2

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 2

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1790474237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WALKER ST STE 200",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041727",
            "telephone_number": "207-475-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ STE 210",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017905",
            "telephone_number": "207-475-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Walker St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kittery",
            "state": "ME",
            "postal_code": "039041727",
            "country_code": "US",
            "telephone_number": "207-475-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUINARD",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.