Active NPI
Lakes Region Urology PA
- Urology Physician
- Laconia, NH
National Provider Identifier
1902088024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- LAKES REGION UROLOGY PA
- Practice address
- 85 Spring St
Laconia, NH 03246-3113 - Phone
- (603) 524-8660
- NPI assigned
- Nov 30, 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
- Mrs. Patricia Dumont
- Title
- Office Coordinator
- Phone
- (603) 524-8660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NH | Primary |
Addresses
Primary practice location
85 Spring St
Laconia, NH 03246-3113
Mailing address
85 Spring St
Laconia, NH 03246-3113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000655 | Medicaid | NH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1902088024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SPRING ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SPRING ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463113",
"telephone_number": "603-524-8660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES REGION UROLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "DUMONT",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "603-524-8660",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000655",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.