NPIMap

Individual provider Active NPI

Jeanna H Walsh, MD

  • Hematology & Oncology Physician
  • Concord, NH
National Provider Identifier
1922022540
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
13523 Issued in NH
Practice address
250 Pleasant Street
New Hampshire Oncology Hematology PA
Concord, NH 03301
Phone
(603) 224-2556
Fax
(603) 226-5821
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 13523 NH Primary

Addresses

Primary practice location

250 Pleasant Street
New Hampshire Oncology Hematology PA
Concord, NH 03301

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2623
Phone (603) 622-6484

Other identifiers 1

IdentifierTypeStateIssuer
30206891MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000861 NH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0345331732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Hampshire Oncology-Hematology PAGroup PAC ID 0143290759, 14 clinicians
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, 671 clinicians

Practice addresses (Care Compare)

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 224-2556

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (877) 332-4645

Hospital & facility affiliations

  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Elliot Professional Services CurrentSince Aug 3, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2008 Accepting new patients
New Hampshire Oncology-Hematology PA Hematology & Oncology CurrentSince Jul 16, 2007 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

11 Kimball Dr
Unit 125
Hooksett, NH 03106
Phone (603) 314-6879

200 Technology Dr
Hooksett, NH 03106
Phone (603) 622-6484

40 Buttrick Rd
#B
Londonderry, NH 03053

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Interoperability endpoints

  • Direct secure messaging: walsh.jeanna.dfci@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1922022540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062623",
            "telephone_number": "603-622-6484",
            "fax_number": "603-226-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT STREET",
            "address_2": "NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-2556",
            "fax_number": "603-226-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JEANNA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "13523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206891",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.