Individual provider Active NPI

Teresa Marie Vanderlinde, D.O.

  • Gynecology Physician
  • Dover, NH
National Provider Identifier
1841249927
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
1725 Issued in ME
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

Updated by the provider on May 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04Y013156NH01OtherNHFEDERAL BCBS
30010551MedicaidNH
M-121825OtherCIGNA
04Y013156NH01OtherNHNH BCBS
8475278OtherCIGNA NATIONAL
1170854OtherMAILHANDLERS
200723OtherMEME BCBS
2735310OtherAETNA

Other names 1

  • Terri Frisella Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000137 NH Practitioner - Obstetrics/Gynecology 9537102496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1725MEMDGynecology Physician
10011NHMDGynecology 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

Verify at the official NPI Registry.