Active NPI
Teresa Marie Vanderlinde, D.O.
- Gynecology Physician
- Dover, NH
National Provider Identifier
1841249927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 1725
- Practice address
- 839 Central Ave Ste 1
Dover, NH 03820-2506 - Phone
- (603) 516-0000
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 1725 | ME | Primary |
| Gynecology Physician | 207VG0400X | 10011 | NH |
Addresses
Primary practice location
839 Central Ave Ste 1
Dover, NH 03820-2506
Mailing address
839 Central Ave Ste 1
Dover, NH 03820-2506
Phone (603) 516-0000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04Y013156NH01 | Other | NH | FEDERAL BCBS |
| 30010551 | Medicaid | NH | |
| M-121825 | Other | CIGNA | |
| 04Y013156NH01 | Other | NH | NH BCBS |
| 8475278 | Other | CIGNA NATIONAL | |
| 1170854 | Other | MAILHANDLERS | |
| 200723 | Other | ME | ME BCBS |
| 2735310 | Other | AETNA |
Other names 1
- Terri Frisella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080324000137 | NH | Practitioner - Obstetrics/Gynecology | 9537102496 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1725 | ME | MD | Gynecology Physician |
| 10011 | NH | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1841249927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 CENTRAL AVE STE 1",
"city": "DOVER",
"state": "NH",
"postal_code": "038202506",
"telephone_number": "603-516-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 CENTRAL AVE STE 1",
"city": "DOVER",
"state": "NH",
"postal_code": "038202506",
"telephone_number": "603-516-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLINDE",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "ME",
"license": "1725",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NH",
"license": "10011",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS",
"identifier": "04Y013156NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010551",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M-121825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BCBS",
"identifier": "04Y013156NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA NATIONAL",
"identifier": "8475278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLERS",
"identifier": "1170854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME BCBS",
"identifier": "200723",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2735310",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "FRISELLA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.