Active NPI
Londonderry Gastroenterology Associates PA
- Gastroenterology Physician
- Derry, NH
National Provider Identifier
1851782312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 6919
- Legal business name
- LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA
- Practice address
- 44 Birch St
Suite 206
Derry, NH 03038-2752 - Phone
- (603) 818-4712
- Fax
- (603) 965-4063
- NPI assigned
- Feb 5, 2015
- 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
- Mark K Detweiler, M.D
- Title
- Owner of Practice
- Phone
- (603) 744-9430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 6919 | NH | Primary |
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) 818-4714
National Provider Directory
National Provider Directory- Tax ID family
- Londonderry Gastroenterology Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Londonderry, NH
- NPI 1851318281
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423094400000",
"number": "1851782312",
"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": "603-818-4714",
"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": "603-818-4712",
"fax_number": "603-965-4063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A",
"authorized_official_last_name": "DETWEILER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER OF PRACTICE",
"authorized_official_telephone_number": "603-744-9430",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "6919",
"primary": true
}
],
"identifiers": [],
"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 Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.