Eric Matthew Shamansky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13182 Issued in NH

Practice address

71 Highland St
Plymouth, NH 03264-1233

Phone

(603) 536-3700

NPI assigned

Jun 7, 2006

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Speare Memorial Hospital

  • Specialist
  • Plymouth, NH
  • NPI 1023036191

  Corporate Director

  CMS ownership
• Speare Memorial Hospital

  dba Plymouth Pediatric and Adolescent Medicine

  • Rural Health Clinic/Center
  • Plymouth, NH
  • NPI 1326587635

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Speare Memorial Hospital

  dba Speare Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, NH
  • NPI 1407690019

  Corporate Director

  CMS ownership
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376

  Corporate Director

  CMS ownership
• Speare Memorial Hospital

  dba Wound Care & Hyperbaric Medicine Center

  • Wound Care Registered Nurse
  • Plymouth, NH
  • NPI 1861823999

  Corporate Director

  CMS ownership

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

• Speare Memorial Hospital

  dba Speare Hospitalist Program

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047
  Medicare reassignment NPD
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376
  Medicare reassignment NPD
• Speare Memorial Hospital

  dba Plymouth Pediatric and Adolescent Medicine

  • Rural Health Clinic/Center
  • Plymouth, NH
  • NPI 1326587635
  NPD
• Speare Memorial Hospital

  dba Speare Hospital at Meredith

  • Family Medicine Physician
  • Meredith, NH
  • NPI 1669161659
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1962442269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HIGHLAND STREET",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HIGHLAND ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641233",
            "telephone_number": "603-536-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMANSKY",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "13182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012813",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206132",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Ellen Scigliano, PSYD
• Cynthia Garner Scrimshaw, APRN, PMHNP
• Randall Scroggins
• Andrew William Seefeld, MD
• Sarah Lynn Shadallah, ARNP
• Ali Margaret Sheehan
• Chance Simonton, LMHC
• Randall J Sims, PHARMACIST
• Ian Sindlinger, LMHC
• Sleepwellandbreathe LLC

• Pediatrics Physician in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Pediatrics Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.