Organization Active NPI

Weymouth Surgical LLC

  • Surgery Physician
  • Derry, NH
National Provider Identifier
1811264559
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12895 Issued in NH
Legal business name
WEYMOUTH SURGICAL LLC
Practice address
44 Birch St
Suite 206
Derry, NH 03038-2752
Phone
(603) 965-4505
Fax
(603) 965-4063
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Jennifer L Weymouth, M.D., D.O.
Title
Owner
Phone
(603) 818-8914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 12895 NH Primary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 219696 MA

Addresses

Primary practice location

44 Birch St
Suite 206
Derry, NH 03038-2752

Mailing address

44 Birch St
Suite 206
Derry, NH 03038-2752
Phone (603) 965-4505

Other identifiers 1

IdentifierTypeStateIssuer
30224519MedicaidNH

National Provider Directory

National Provider Directory

Locations

6 Windsor St
Andover, MA 01810
Phone (978) 655-4789

44 Birch St
Ste 206
Derry, NH 03038
Phone (603) 521-7413

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1811264559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 206",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-965-4505",
            "fax_number": "603-965-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 206",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-965-4505",
            "fax_number": "603-965-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEYMOUTH SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "WEYMOUTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-818-8914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NH",
            "license": "12895",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "219696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30224519",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.