ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1093761892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093761892 |
| Entity Type | Organization |
| Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Other Organization Name | WOMENS CARE CENTER AT ALICE PECK DAY |
| Practice Address |
141 Mascoma St Lebanon NH 03766 |
| Mailing Address |
10 Alice Peck Day Dr Lebanon NH 03766-2647 |
| Practice Telephone | 6034483996 |
| Practice Fax Number | 6034486863 |
| Mailing Telephone | 6034483121 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | 00016 | NH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Womens Care Center 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 |
| 1073569810 | Alice Peck Day Memorial Hospital | Family Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 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 |
141 MASCOMA ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276757 | Susan E Mooney | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-26 |
| 1245667211 | Lucy F Chapin | Advanced Practice Midwife | 141 Mascoma St, Lebanon, NH 03766-2647 | 2013-10-04 |
| 1831373356 | Headrest Inc. | Counselor | 141 Mascoma St, Lebanon, NH 03766 | 2007-12-19 |
| 1275580847 | Laurie Foster | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-05-28 |
| 1013969005 | Suzanne Davey Shipman | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-05-17 |
| 1508831207 | Kathryn M Vargo | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2006-02-17 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447644935 | Joshua Jones | Obstetrics & Gynecology | 120 Hospital Dr Ste 225, Lebanon, MO 65536-9254 | 2015-03-24 |
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1588858567 | Edmundo Humberto Yibirin | Obstetrics & Gynecology | 1421 W Baddour Pkwy Ste B, Lebanon, TN 37087 | 2007-08-31 |
| 1194835207 | Alton W Pickett | Obstetrics & Gynecology | 437 Park Ave, Suite A, Lebanon, TN 37087 | 2006-08-30 |
| 1922010396 | Lynval T Reynolds | Obstetrics & Gynecology | 330 Loretto Rd Ste 500a, Lebanon, KY 40033-1308 | 2006-08-13 |
| 1881644763 | Clarinda Burton-shannon | Obstetrics & Gynecology | 1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 | 2006-05-11 |
| 1902865124 | Karen Elise Gaspardi | Obstetrics & Gynecology | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-03-17 |
| 1740276757 | Susan E Mooney | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-26 |
| 1639163322 | Robert W Mccarty | Obstetrics & Gynecology | 2505 N Lebanon St Ste 208, Lebanon, IN 46052-8611 | 2005-09-08 |
| 1750375689 | Ted R Winkler | Obstetrics & Gynecology | 2505 N Lebanon St, Suite 208, Lebanon, IN 46052-8612 | 2005-09-07 |
| 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.