Individual provider Active NPI

Pamela A Stetzer, DO

  • Obstetrics & Gynecology Physician
  • Peterborough, NH
National Provider Identifier
1952300709
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34007921 Issued in OH
Practice address
454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200
Phone
(603) 924-9444
Fax
(603) 924-8709
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34007921 OH Primary

Addresses

Primary practice location

454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200

Mailing address

454 Old Street Rd
Suite 302
Peterborough, NH 03458-1200
Phone (603) 924-9444

Other identifiers 3

IdentifierTypeStateIssuer
30226436MedicaidNH
000000387130OtherOHANTHEM
2377897MedicaidOH

Other names 1

  • Pamela A Kviring Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000203 NH Practitioner - Obstetrics/Gynecology 7113924812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock OBGYN Associates PAGroup PAC ID 9234114240, 3 clinicians

Practice addresses (Care Compare)

454 Old St Rd
Peterborough, NH 03458-1200
Phone (603) 924-9444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock OBGYN Associates PA CurrentSince Mar 1, 2008 Accepting new patients
Monadnock Community Hospital Past Accepting new patients
Medical Service Associates of Xenia Inc Past Accepting new patients

Locations

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 302
Peterborough, NH 03458
Phone (603) 759-1491

Interoperability endpoints

  • Direct secure messaging: pamelastetzer@moap-nh.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 2

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1952300709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 302",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9444",
            "fax_number": "603-924-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 302",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9444",
            "fax_number": "603-924-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZER",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34007921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30226436",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000387130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KVIRING",
            "middle_name": "A",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.