Wayne Leclair, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6215 Issued in NH

Practice address

452 Old Street Rd
Peterborough, NH 03458-1263

Phone

(603) 924-7191

NPI assigned

Jul 22, 2006

Last updated

Nov 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The New London Hospital Association, Inc.

  dba d/b/a New London Hospital EMS

  • 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)

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

{
    "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": []
}

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

• Emergency Medicine Physician in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.