Pancras Henry Van Der Laan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5728 Issued in NH

Practice address

173 Middle St
Lancaster, NH 03584-3508

Phone

(603) 788-4911

Fax

(603) 788-5031

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1912985334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5029",
            "fax_number": "603-788-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-4911",
            "fax_number": "603-788-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Middle St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "NH",
            "postal_code": "035843556",
            "country_code": "US",
            "telephone_number": "603-788-2521",
            "fax_number": "603-788-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER LAAN",
        "first_name": "PANCRAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "5728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000540",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004272",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Howard Smith, MD
• Robert John Spencer, RPH
• Gwen G Stewart, RD, LD
• Town of Lancaster
• Sara Tupick
• Megan Vincent
• Walter Javier Voigt, MD
• Angelo Charles Vozzella, PA-C
• Walgreen Co
• Walgreen Co.

• All providers in Lancaster, NH
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.