NPIMap

Individual provider Active NPI

Joseph A Ebner, MD

  • Obstetrics & Gynecology Physician
  • Plymouth, NH
National Provider Identifier
1881602472
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10612 Issued in NH
Practice address
16 Hospital Road
Plymouth OB/GYN
Plymouth, NH 03264
Phone
(603) 536-1104
NPI assigned
Aug 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10612 NH Primary

Addresses

Primary practice location

16 Hospital Road
Plymouth OB/GYN
Plymouth, NH 03264

Mailing address

P.O. Box 706
Plymouth, NH 03264-0706
Phone (603) 481-8757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000109 NH Practitioner - Obstetrics/Gynecology 4183646573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Ohio, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Memorial HospitalGroup PAC ID 1153318068, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

16 Hospital Rd
Plymouth, NH 03264-1126
Phone (603) 536-1104

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital Current Accepting new patients
Speare Memorial Hospital CurrentSince Jul 26, 1999 Accepting new patients
Speare Memorial Hospital CurrentSince Jul 26, 1999 Accepting new patients
Speare Memorial Hospital CurrentSince Jan 2, 2018 Accepting new patients

Locations

178 Daniel Webster Hwy
Ste B
Meredith, NH 03253

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

19 Avery St
Plymouth Womens Heal
Plymouth, NH 03264
Phone (603) 536-1104

19 Avery St
Plymouth Womens Heal
Plymouth, NH 03264
Phone (603) 536-1104

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Speare Memorial HospitalPlymouth, NH, CCN 301311 Hospital Corporate Director Jan 1, 2008
Speare Memorial HospitalPlymouth, NH, CCN 30Z311 Hospital Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2008
Jan 1, 2008
Jan 1, 2008
Speare Memorial HospitalPlymouth, NH, CCN 303987 Rural health clinic Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2008
Jan 1, 2008
Jan 1, 2008
Plymouth OB/GYNPlymouth, NH, CCN 303990 Rural health clinic Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2008
Jan 1, 2008
Jan 1, 2008
Plymouth Pediatric and Adolescent MedicinePlymouth, NH, CCN 303995 Rural health clinic Corporate Director Jan 1, 2008

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881602472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 706",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032640706",
            "telephone_number": "603-481-8757",
            "fax_number": "603-238-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL ROAD",
            "address_2": "PLYMOUTH OB/GYN",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "10612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

Verify at the official NPI Registry.