Individual provider Active NPI

Paula Marie Mahon, M.D.

  • Family Medicine Physician
  • Manchester, NH
National Provider Identifier
1992782528
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9141 Issued in NH
Practice address
199 Manchester St
Manchester, NH 03103-5232
Phone
(603) 663-8718
Fax
(603) 314-4554
NPI assigned
Dec 23, 2005
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9141 NH Primary

Addresses

Primary practice location

199 Manchester St
Manchester, NH 03103-5232

Mailing address

195 McGregor Street
Suite LL22
Manchester, NH 03102-3754
Phone (603) 663-8701

Other identifiers 1

IdentifierTypeStateIssuer
3077678MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.allscriptsdirect.net

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
I20051219000599 NH Practitioner - Family Practice 0446272447 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Healthcare Trust CurrentSince Dec 1, 2008 Accepting new patients
Catholic Medical Center Family Medicine CurrentSince Apr 1, 2006 Accepting new patients

Locations

20 Washington Pl
Bedford, NH 03110
Phone (603) 644-5900

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567

195 McGregor St
Ste LL22
Manchester, NH 03102

199 Manchester St
Manchester, NH 03103
Phone (603) 641-9441

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

Interoperability endpoints

  • Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1992782528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR STREET",
            "address_2": "SUITE LL22",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023754",
            "telephone_number": "603-663-8701",
            "fax_number": "603-663-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MANCHESTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035232",
            "telephone_number": "603-663-8718",
            "fax_number": "603-314-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077678",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "199 Manchester St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031035232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.