PMC MEDICAL GROUP, LLC (NPI# 1396121240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396121240 |
| Entity Type | Organization |
| Organization Name | PMC MEDICAL GROUP, LLC |
| Practice Address |
7 Works Way Somersworth NH 03878-1639 |
| Practice Telephone | 6036923166 |
| Practice Fax Number | 6036923168 |
| Mailing Telephone | 6036923166 |
| Mailing Fax Number | 6036923168 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | STEPHANIE CAUCIS (COO) |
| Authorized Official Telephone | 6036923166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 111N00000X | Chiropractor | NH | Chiropractic Providers | |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
NH | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
NH | Allopathic & Osteopathic Physicians | |
| N | 291U00000X | Clinical Medical Laboratory | NH | Laboratories | |
| Y | 208D00000X | General Practice | NH | Allopathic & Osteopathic Physicians |
| Street Address |
7 WORKS WAY |
| City | SOMERSWORTH |
| State | NH |
| Zip Code | 03878-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831910 | Jolene Jan Shuman | Family Medicine | 7 Works Way, Somersworth, NH 03878 | 2005-12-08 |
| 1417555301 | Bikramjeet Dolla | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878-1639 | 2020-10-13 |
| 1871131888 | James John Hudyma | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878-1639 | 2019-12-20 |
| 1538627815 | Katelyn Buchholz | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878-1639 | 2019-03-06 |
| 1609354224 | Talley E Slate | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878-1639 | 2018-08-06 |
| 1043673379 | Nong Chrang | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878-1639 | 2016-04-04 |
| 1417312554 | Chelsey Prugar | Physician Assistant | 7 Works Way, Somersworth, NH 03878-1639 | 2015-12-16 |
| 1477564532 | Michael J O'connell, Md | Family Medicine | 7 Works Way, Somersworth, NH 03878-1543 | 2006-08-11 |
| 1619996063 | Brian E Kaufman | Neuromusculoskeletal Medicine & OMM | 7 Works Way, Somersworth, NH 03878-1639 | 2006-07-18 |
| 1033137229 | Claire D Menard | Nurse Practitioner | 7 Works Way, Somersworth, NH 03878 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207395 | Foojan Ghahramani | Counselor | Hcrc, 200 Nh-108, Somersworth, NH 03878 | 2019-07-19 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1528446085 | Ann F Fisher | Nurse Practitioner | 296 Maine St, Haverhilll, MA 03878 | 2015-05-15 |
| 1235567264 | Wentworth Surgery Center, LLC | Clinic/Center | 6 Works Way, Somersworth, NH 03878 | 2013-10-30 |
| 1255601241 | Seacoast Business & Health Clinic Inc | Physical Therapist | 396 High St Ste 1, Seacoast Redicare, Somersworth, NH 03878 | 2012-01-06 |
| 1043505209 | Matthew Donohue | Physical Therapist | 7 Marsh Brook Drive, Suite 101, Somersworth, NH 03878 | 2011-06-16 |
| 1013050558 | Elizabeth Nelson | Registered Nurse | Goodwin Community Health 311 Route 108, Somersworth, NH 03878 | 2007-02-15 |
| 1811057581 | William C Brewster | Internal Medicine | 396 High Street, Seacoast Redicare, Somersworth, NH 03878 | 2006-12-11 |
| Find all providers in zip 03878 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555634 | Landmark Medical of New Hampshire PC | General Practice | 20 Trafalgar Sq Ste 407, Nashua, NH 03063-1996 | 2020-07-22 |
| 1780208686 | Bethany Health Services | General Practice | 10 Benning St Ste 160 #208, West Lebanon, NH 03784-3402 | 2020-06-05 |
| 1750865093 | Motivated Health Choices, Pllc | General Practice | 134 Newton Rd Unit 11, Plaistow, NH 03865-2419 | 2018-09-22 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1164835229 | Loren Blake | General Practice | 213 Winding Pond Rd, Londonderry, NH 03053-3378 | 2014-06-06 |
| 1225351042 | Lisa Ann Jacobs | General Practice | 251 Sunset Rd., Fitzwilliam, NH 03447 | 2010-03-08 |
| 1114169125 | Michelle Frances Lackovic | General Practice | 131 Morningside Ln, Charlestown, NH 03603-4210 | 2009-04-06 |
| 1811906027 | Denrick Leo Crespi | General Practice | 167 South River Road, Suite C, Bedford, NH 03110-6931 | 2006-08-05 |
| 1386673952 | Indian Stream Health Center, Inc | General Practice | 141 Corliss Lane, Colebrook, NH 03576 | 2006-07-03 |
| 1134116981 | County of Strafford | General Practice | 276 County Farm Rd, Dover, NH 03820-6003 | 2005-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SOMERSWORTH |
| Zip Code | 03878 |
Please comment or provide details below to improve the information on PMC MEDICAL GROUP, LLC.
| 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.