Douglas R Mailly (NPI# 1013950641, PAC ID# 1557313269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013950641 |
| PAC ID by PECOS | 1557313269 |
| Professional Enrollment ID | I20170419000749 |
| Full Name | Douglas R Mailly |
| Organization Legal Name | OWASCOAG EMERGENCY PHYSICIANS LLC |
| Address |
603 Lafayette Rd Seabrook NH 03874-4279 |
| Phone Number | 6034746400 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9638446347 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 603 Lafayette Rd, Seabrook, NH 03874-4279 | 6034746400 | OWASCOAG EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | OWASCOAG EMERGENCY PHYSICIANS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Edwards | Emergency Medicine | Owascoag Emergency Physicians LLC | 603 Lafayette Rd, Seabrook, NH 03874-4279 |
| Hisham M Zafari | Emergency Medicine | Owascoag Emergency Physicians LLC | 603 Lafayette Rd, Seabrook, NH 03874-4279 |
| Street Address |
603 LAFAYETTE RD |
| City | SEABROOK |
| State | NH |
| Zip | 03874-4279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Edwards | Emergency Medicine | Owascoag Emergency Physicians LLC | 603 Lafayette Rd, Seabrook, NH 03874-4279 |
| Hisham M Zafari | Emergency Medicine | Owascoag Emergency Physicians LLC | 603 Lafayette Rd, Seabrook, NH 03874-4279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Titus | Physical Therapy | Pinnacle Rehabilitation Network, LLC | 920 Lafayette Rd, Seabrook, NH 03874-4216 |
| Tyler Douglas Lamson | Chiropractic | 727 Lafayette Rd, Seabrook, NH 03874-4255 | |
| Shruti S Ravula | Optometry | Optometric Providers of New Hampshire, Pllc | 652 Lafayette Rd, Unit 3, Seabrook, NH 03874-4346 |
| Pamela D Freeman | Certified Registered Nurse Anesthetist (crna) | Beverly Anesthesia Associates, Inc | 325 Lafayette Rd, Seabrook, NH 03874-4539 |
| Brian A Nagy | Podiatry | 325 -1 Lafayette Rd, Seabrook, NH 03874-4539 | |
| Chang Soo D Lee | Optometry | 700 Lafayette Rd, Unit 1, Seabrook, NH 03874-6202 |
| City | SEABROOK |
| Zip Code | 03874 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SEABROOK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Douglas R Mailly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.