Wayne Leclair, MD

Key facts

NPI

1891716007

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

6215 (NH)

Practice address

452 Old Street Rd
Peterborough, NH 03458-1263

Phone

(603) 924-7191

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• The New London Hospital Association, Inc. Ambulance · New London, NH · NPI 1639610611
  NPD (past)
• The New London Hospital Association, Inc. Critical Access Hospital · New London, NH · NPI 1831200583
  NPD (past)
• Specialized Health Management Inc Psychiatric/Mental Health Nurse Practitioner · Needham, MA · NPI 1700912656
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2015.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1891716007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581263",
            "telephone_number": "603-924-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581263",
            "telephone_number": "603-924-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007779",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

• Lara Kroodsma, PSYD, PLLC
• Abby A Larock, OT
• Amy Beth Lashua, B.S.
• Eric Michael Lasky, M.D.
• Nadine Laughlin, CNM
• Barbara Lee-Roberts, LMT, NCTMB, CA
• Maureen Cronin Lee
• David R Levene, M.D.
• Melissa Lewis
• Patricia Carol Liebenson-Morse, LICSW

All providers in Peterborough, NH · Emergency Medicine Physician in New Hampshire