Individual provider Active NPI

Alan Stuart Goldenhar, DPM

  • Podiatrist
  • North Conway, NH
National Provider Identifier
1851315071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NH185 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860-5111
Phone
(603) 356-4847
Fax
(603) 356-4823
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NH185 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860-5111

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-5111
Phone (603) 356-4847

Other identifiers 1

IdentifierTypeStateIssuer
99904929MedicaidNH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060110000589 NH Practitioner - Podiatry 2163445768 Reassigns benefits to 2 organizations
I20210304001396 ME Practitioner - Podiatry 2163445768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 2365418993, shared by 3 NPIs, 79 clinicians
Sacopee Valley Health CenterGroup PAC ID 5597664854, 19 clinicians

Practice addresses (Care Compare)

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126

Hospital & facility affiliations

  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH185NHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Sacopee Valley Health Center CurrentSince Oct 21, 2020 Accepting new patients
Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Sacopee Valley Health Center CurrentSince Oct 21, 2020 Accepting new patients

Locations

70 Main St
Porter, ME 04068
Phone (207) 625-8126

3073 White Mountain Hwy
#5001
North Conway, NH 03860
Phone (603) 356-4493

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: alan.goldenhardpm.p1@direct.svhc.nextgenshare.com
  • Direct secure messaging: agoldenhar230170@direct.mmc.mainehealth.org

Organizations & group practices 4

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 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851315071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-356-4847",
            "fax_number": "603-356-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-356-4847",
            "fax_number": "603-356-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENHAR",
        "first_name": "ALAN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "NH185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99904929",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.