Active NPI
Medpark Wellness Center LLC
- Family Medicine Physician
- Hudson, NH
National Provider Identifier
1841184983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDPARK WELLNESS CENTER LLC
- Practice address
- 225 Derry Rd
Hudson, NH 03051-3303 - Phone
- (603) 595-8989
- NPI assigned
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie McKay, OWNER
- Title
- Owner
- Phone
- (603) 595-8989
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
225 Derry Rd
Hudson, NH 03051-3303
Mailing address
225 Derry Rd
Hudson, NH 03051-3303
Phone (603) 595-8989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
225 Derry Rd
Ste 1
Hudson, NH 03051
Phone (603) 595-8989
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hudson, NH
- NPI 1861467789
-
- Physician Assistant
- Hudson, NH
- NPI 1134696131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1841184983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DERRY RD",
"city": "HUDSON",
"state": "NH",
"postal_code": "030513303",
"telephone_number": "603-595-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 DERRY RD",
"city": "HUDSON",
"state": "NH",
"postal_code": "030513303",
"telephone_number": "603-595-8989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPARK WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "MCKAY",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-595-8989",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.