ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1073569810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073569810 |
| Entity Type | Organization |
| Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Other Organization Name | PHYSICIAN PRACTICES AT ALICE PECK DAY |
| Practice Address |
10 Alice Peck Day Dr Lebanon NH 03766-2647 |
| Practice Telephone | 6034483122 |
| Practice Fax Number | 6034487491 |
| Mailing Telephone | 6034483122 |
| Mailing Fax Number | 6034487462 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | SUSAN E MOONEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 6034483121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
00016 | NH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 00016 | NH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 00016 | NH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 00016 | NH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Physician Practices at Alice Peck Day | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691829 | Alice Peck Day Memorial Hospital | Podiatrist | 20 W Park St Ste 320, Lebanon, NH 03766-1322 | 2015-02-12 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1831490309 | Alice Peck Day Memorial Hospital | Orthopaedic Surgery | 205 Billings Farm Rd, Suite 3a, White River Junction, VT 05001-5400 | 2010-11-15 |
| 1649581232 | Alice Peck Day Memorial Hospital | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2010-06-29 |
| 1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
| 1891908919 | Alice Peck Day Memorial Hospital | Pharmacy | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-07 |
| 1295805950 | Alice Peck Day Memorial Hospital | General Practice | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-11-09 |
| 1093761892 | Alice Peck Day Memorial Hospital | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766 | 2006-05-25 |
| 1003803495 | Alice Peck Day Memorial Hospital | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2005-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALICE PECK DAY MEMORIAL HOSPITAL | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
| Street Address |
10 ALICE PECK DAY DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429799 | Christopher Mazur | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2694 | 2005-09-30 |
| 1033683909 | Erika Argersinger | Physician Assistant | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2019-01-14 |
| 1033692850 | Alexa Ruppert Holleran | Nurse Practitioner | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2018-09-07 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1285187336 | Upper Valley Emergency Physicians LLC | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1689024192 | Casey Kelly | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-06-15 |
| 1073990669 | Samuel James Ogden | Pediatrics | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2015-05-03 |
| 1194159210 | Brittany V Teune | Physical Therapist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2013-08-26 |
| 1639457732 | Yasolatha Chalicheemala | Internal Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1033693031 | Heather Heck | Family Medicine | 1701 Cornwal Road, Lebanon, PA 17042-7480 | 2018-09-17 |
| 1982113148 | A1 Health Care Clinic | Family Medicine | 703 East Main Street, # 8, Lebanon, KY 40444 | 2017-09-20 |
| 1952830127 | Juliana Zamora Cubillos | Family Medicine | 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 | 2017-06-09 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1598108763 | Docare,llc | Family Medicine | 680 E Grant St, Lebanon, OR 97355-4432 | 2013-04-08 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.