Active NPI
Parkland Physician Services Inc
Doing business as Womens Progressive Healthcare
- Obstetrics & Gynecology Physician
- Derry, NH
National Provider Identifier
1902027774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PARKLAND PHYSICIAN SERVICES INC
- Doing business as
- Womens Progressive Healthcare
- Practice address
- 44 Birch St
Suite 103B
Derry, NH 03038-2752 - Phone
- (603) 421-2460
- Fax
- (603) 421-2479
- NPI assigned
- May 1, 2007
- Last updated
- Dec 13, 2007
- 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
- Ken Washington
- Title
- VP
- Phone
- (800) 661-3365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
44 Birch St
Suite 103B
Derry, NH 03038-2752
Mailing address
44 Birch St
Suite 103B
Derry, NH 03038-2752
Phone (603) 421-2460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30007518 | Medicaid | NH |
Other names 1
- Womens Progressive Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040716000991 | NH | Part B Supplier - Clinic/Group Practice | 1254226517 |
Receives reassigned benefits from 26 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Derry, NH; Salem, NH; Rochester, NH; Portsmouth, NH; Nashua, NH; Manchester, NH |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Womens Health Associates of Derry
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Derry, NH
- NPI 1740409556
O20040716000991
-
- Hematology & Oncology Physician
- Derry, NH
- NPI 1871517284
O20040716000991
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
O20040716000991
National Provider Directory
National Provider DirectoryLocations
44 Birch St
Ste 103B
Londonderry, NH 03038
Phone (603) 421-2460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1902027774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"address_2": "SUITE 103B",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-421-2460",
"fax_number": "603-421-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"address_2": "SUITE 103B",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-421-2460",
"fax_number": "603-421-2479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKLAND PHYSICIAN SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "800-661-3365"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30007518",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Womens Progressive Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Derry, NH
- Parkland Physician Services Inc (dba Anne Loosmann)
- Parkland Physician Services Inc (Parkland Physician Services of Salem)
- Parkland Physician Services Inc (Anne Loosmann MD)
- Parkland Physician Services Inc (Womens Health Associates of Derry)
- Parkland Physician Services Inc
- Parkland Physician Services, Inc.
- Jodi Pas
- Halary Patch
- Harshvina M Patel, RPH
- Hiral H Patel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.