Bear Mt Hanover LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT HANOVER LLC

Practice address

49 Lyme Rd
Hanover, NH 03755-1205

Phone

(603) 643-2854

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Thomas H Doyle II

Title

Member/Coo

Phone

(860) 880-8202

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Gerardine Santos Fernandez, MD

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1669792446
  NPD (past)
• Zohreen Bheriani, MD

  • Adult Medicine Physician
  • Lewiston, ME
  • NPI 1255750345
  NPD (past)
• Kinal Kim Patel, D.O.

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1063862480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1851859565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 203",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-880-8202",
            "fax_number": "860-880-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551205",
            "telephone_number": "603-643-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT HANOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER/COO",
        "authorized_official_telephone_number": "860-880-8202",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Douglas Baker, DMD
• Gregory Baker, DDS
• Barbara Zinman
• David R Barlow, MS, DPT
• Be Fit Physical Therapy, LLC
• Kelcie Lynn Beck
• Becket Academy, Inc.
• Ginger Bellerud-Corthell
• Belonging Medical Group PLLC
• Heather Bemis, PHD

• Skilled Nursing Facility in Hanover, NH
• Providers in Hanover, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.