Individual provider Active NPI

Jordy Looser, PA-C

  • Surgical Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1962449066
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0282P Issued in NH
Practice address
333 Borthwick Avenue
Suite 402
Portsmouth, NH 03801
Phone
(603) 559-4111
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-568 ME
Surgical Physician Assistant 363AS0400X 0282P NH Primary

Addresses

Primary practice location

333 Borthwick Avenue
Suite 402
Portsmouth, NH 03801

Mailing address

333 Borthwick Avenue
Suite 402
Portsmouth, NH 03801
Phone (603) 559-4111

Other identifiers 2

IdentifierTypeStateIssuer
3077059MedicaidNH
P01425995OtherNHRAILROAD MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000544 NH Practitioner - Physician Assistant 1254224066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

333 Borthwick Ave
Portsmouth, NH 03801-7128

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-568MEMDMedical Physician Assistant
0282PNHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Sep 21, 2014 Accepting new patients
Appledore Medical Group II Inc Past Accepting new patients
Appledore Medical Group Inc Past Accepting new patients

Locations

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

333 Borthwick Ave
Ste 200
Portsmouth, NH 03801
Phone (603) 334-6260

200 Griffin Rd
Ste 12A
Portsmouth, NH 03801
Phone (603) 457-7040

333 Bothwick Ave
Ste 402
Portsmouth, NH 03801
Phone (603) 433-5110

105 Corporate Dr
Portsmouth, NH 03801
Phone (603) 501-5500

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1962449066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVENUE",
            "address_2": "SUITE 402",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-559-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVENUE",
            "address_2": "SUITE 402",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-559-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSER",
        "first_name": "JORDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-568",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0282P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077059",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01425995",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.