Organization Active NPI

Parkland Physician Services Inc

Doing business as Womens Progressive Healthcare

  • Obstetrics & Gynecology Physician
  • Derry, NH
National Provider Identifier
1902027774
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30007518MedicaidNH

Other names 1

  • Womens Progressive Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.