| Androscoggin Valley Hospital, Inc. | |
|
59 Page Hill Rd Berlin NH 03570-3542 | |
| (603) 326-5827 | |
| (603) 326-5832 |
| Full Name | Androscoggin Valley Hospital, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 59 Page Hill Rd, Berlin, New Hampshire |
| Authorized Official Name and Position | Russell Keene (CEO) |
| Authorized Official Contact | 6033265601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Androscoggin Valley Hospital, Inc. 59 Page Hill Rd Berlin NH 03570-3542 Ph: (603) 326-5827 | Androscoggin Valley Hospital, Inc. 59 Page Hill Rd Berlin NH 03570-3542 Ph: (603) 326-5827 |
| NPI Number | 1386680593 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 08/19/2011 |
| Medicare PECOS PAC ID | 2365350725 |
|---|---|
| Medicare Enrollment ID | O20040402000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386680593 | NPI | - | NPPES |
| 900452 | Other | NH | HARVARD PILGRIM |
| 1GA | Other | NH | ANTHEM |
| 80300022 | Medicaid | NH | |
| 0449085 | Other | NH | CIGNA |
| Provider Name | John A Mcdowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538161450 PECOS PAC ID: 3577471028 Enrollment ID: I20040519000527 |
| Provider Name | William B Clutterbuck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780676080 PECOS PAC ID: 0244221257 Enrollment ID: I20040519001021 |
| Provider Name | Susan M Lessard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871595876 PECOS PAC ID: 8022009935 Enrollment ID: I20040520000039 |
| Provider Name | Donald Kernan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740272517 PECOS PAC ID: 9739170655 Enrollment ID: I20040520000149 |
| Provider Name | Arthur Albert Ruediger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528110194 PECOS PAC ID: 9436140381 Enrollment ID: I20040520000348 |
| Provider Name | Geoffrey Starr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831118017 PECOS PAC ID: 6709845787 Enrollment ID: I20041006000059 |
| Provider Name | William Graff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801872825 PECOS PAC ID: 8426013947 Enrollment ID: I20041124000153 |
| Provider Name | Richard G Kardell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649338468 PECOS PAC ID: 2769431600 Enrollment ID: I20050118000449 |
| Provider Name | Khawaja Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871687038 PECOS PAC ID: 3870539083 Enrollment ID: I20050628000991 |
| Provider Name | Victor Lazaron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871585141 PECOS PAC ID: 0244276566 Enrollment ID: I20050707000974 |
| Provider Name | Mark A Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639156797 PECOS PAC ID: 2961439419 Enrollment ID: I20050726000942 |
| Provider Name | Jonathan D Vacik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528129640 PECOS PAC ID: 5799756946 Enrollment ID: I20050927001119 |
| Provider Name | David Strang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851366025 PECOS PAC ID: 1254373848 Enrollment ID: I20051109001018 |
| Provider Name | Kathryn Vargo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508831207 PECOS PAC ID: 5698796555 Enrollment ID: I20051207000940 |
| Provider Name | Steven P Beaudette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265418594 PECOS PAC ID: 8123040052 Enrollment ID: I20051220000643 |
| Provider Name | Darin C Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750369906 PECOS PAC ID: 6204858590 Enrollment ID: I20051230000102 |
| Provider Name | Morice P Dennery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386667251 PECOS PAC ID: 4981618964 Enrollment ID: I20060130000108 |
| Provider Name | Peggy M Simon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770688236 PECOS PAC ID: 6204847833 Enrollment ID: I20060511000097 |
| Provider Name | Christopher N Dainiak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710942354 PECOS PAC ID: 2961392428 Enrollment ID: I20060727000276 |
| Provider Name | Suzanne Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518987270 PECOS PAC ID: 5294745436 Enrollment ID: I20061229000302 |
| Provider Name | Pamela M Bouley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548365984 PECOS PAC ID: 0648277210 Enrollment ID: I20080726000043 |
| Provider Name | Curtis Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209133 PECOS PAC ID: 0749269991 Enrollment ID: I20081107000435 |
| Provider Name | Mark Galen Vojtko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760621056 PECOS PAC ID: 6901962935 Enrollment ID: I20090227000049 |
| Provider Name | Charanjit Reddy Veeramalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114098852 PECOS PAC ID: 4284730680 Enrollment ID: I20090303000196 |
| Provider Name | Krzsztof Z Plociennik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194817759 PECOS PAC ID: 5092851691 Enrollment ID: I20091013000469 |
| Provider Name | Brian M Beals |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104828979 PECOS PAC ID: 1052458023 Enrollment ID: I20091023000120 |
| Provider Name | Kevin R Seale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972654770 PECOS PAC ID: 4385736362 Enrollment ID: I20100602000378 |
| Provider Name | Steven V Ball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417191685 PECOS PAC ID: 3375696974 Enrollment ID: I20100624000428 |
| Provider Name | Joseph Della Valla |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386684439 PECOS PAC ID: 2062470040 Enrollment ID: I20110214000879 |
| Provider Name | Diane Demers Dube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790081867 PECOS PAC ID: 7810170016 Enrollment ID: I20110325000290 |
| Provider Name | Teimuraz Apridonidze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801064019 PECOS PAC ID: 5294850178 Enrollment ID: I20110729000297 |
| Provider Name | Jeremy S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174784557 PECOS PAC ID: 0749458107 Enrollment ID: I20110729000550 |
| Provider Name | Elie B Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679843601 PECOS PAC ID: 9032366992 Enrollment ID: I20120828000532 |
| Provider Name | Martin Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346286788 PECOS PAC ID: 3971527243 Enrollment ID: I20121005000570 |
| Provider Name | Jessica P Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164580726 PECOS PAC ID: 8628213071 Enrollment ID: I20130408000045 |
| Provider Name | Tamsin M Durand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376742627 PECOS PAC ID: 2567608995 Enrollment ID: I20130409000450 |
| Provider Name | Faith M Pinkerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245275437 PECOS PAC ID: 1850333048 Enrollment ID: I20131230000183 |
| Provider Name | Wendy A Demartino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125899 PECOS PAC ID: 0648364760 Enrollment ID: I20131231000465 |
| Provider Name | Christopher B Mone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902193428 PECOS PAC ID: 6507083870 Enrollment ID: I20140811000016 |
| Provider Name | Kathryn S Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518195635 PECOS PAC ID: 8527114545 Enrollment ID: I20150313000090 |
| Provider Name | Sarah E Ming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346459633 PECOS PAC ID: 3779777636 Enrollment ID: I20151030000952 |
| Provider Name | John M Montminy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558478305 PECOS PAC ID: 9032192596 Enrollment ID: I20160328000473 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160414000651 |
| Provider Name | James Howard Mackey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598068520 PECOS PAC ID: 7618150483 Enrollment ID: I20160421001033 |
| Provider Name | Stephen G Kraunz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982920427 PECOS PAC ID: 9133411952 Enrollment ID: I20160714000590 |
| Provider Name | Rachel A Ritter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720429301 PECOS PAC ID: 2961630538 Enrollment ID: I20160808001839 |
| Provider Name | Van S Mask |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013967413 PECOS PAC ID: 2961499835 Enrollment ID: I20160812001485 |
| Provider Name | Reggie L Coulombe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437275245 PECOS PAC ID: 1850585795 Enrollment ID: I20160908001653 |
| Provider Name | Allison Anastasoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326491325 PECOS PAC ID: 6305124140 Enrollment ID: I20161028000750 |
| Provider Name | Leon P Mclean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457495806 PECOS PAC ID: 1951598481 Enrollment ID: I20161212002066 |
| Provider Name | Joanie Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819445 PECOS PAC ID: 8426280033 Enrollment ID: I20170109001635 |
| Provider Name | Abbey Wonders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770931057 PECOS PAC ID: 4587932710 Enrollment ID: I20170613000081 |
| Provider Name | Jinu J John |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467682369 PECOS PAC ID: 4385914530 Enrollment ID: I20170720000427 |
| Provider Name | Michelle L Ouellette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417273871 PECOS PAC ID: 4385873108 Enrollment ID: I20170816003227 |
| Provider Name | Noretta E Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699115766 PECOS PAC ID: 8123252533 Enrollment ID: I20170822001366 |
| Provider Name | Jared A Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226002 PECOS PAC ID: 1951542018 Enrollment ID: I20170918002588 |
| Provider Name | Shannon M Mehurg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730250143 PECOS PAC ID: 6002072121 Enrollment ID: I20171004002652 |
| Provider Name | Luc G Corriveau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104229129 PECOS PAC ID: 0547586224 Enrollment ID: I20180208000436 |
| Provider Name | Besiana L Liti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689937278 PECOS PAC ID: 4486966504 Enrollment ID: I20180522000653 |
| Provider Name | Xiaoyu Yang-giuliano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649565599 PECOS PAC ID: 1456669571 Enrollment ID: I20180522002585 |
| Provider Name | Elisabeth A Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205060167 PECOS PAC ID: 0345498978 Enrollment ID: I20180622000410 |
| Provider Name | Stephan H Heo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881822559 PECOS PAC ID: 9234385006 Enrollment ID: I20180816002229 |
| Provider Name | Julie Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972807436 PECOS PAC ID: 3274712203 Enrollment ID: I20180926000172 |
| Provider Name | Jonathan C Beach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053342600 PECOS PAC ID: 1850364381 Enrollment ID: I20190208000709 |
| Provider Name | Mahlon Arthur Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801889761 PECOS PAC ID: 0749187920 Enrollment ID: I20190617001840 |
| Provider Name | Peter W Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023283009 PECOS PAC ID: 4981728847 Enrollment ID: I20190821001792 |
| Provider Name | Amir Y Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073744983 PECOS PAC ID: 5799925111 Enrollment ID: I20190827000982 |
| Provider Name | Kyle Dale Nevills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891737243 PECOS PAC ID: 2769423474 Enrollment ID: I20191010001131 |
| Provider Name | Amy E Tan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235176611 PECOS PAC ID: 3577542877 Enrollment ID: I20191205001469 |
| Provider Name | Gregory Alnwick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720104581 PECOS PAC ID: 9638501026 Enrollment ID: I20191211000999 |
| Provider Name | Matthew T Marallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437275203 PECOS PAC ID: 8426353004 Enrollment ID: I20191211002534 |
| Provider Name | Angelina Hubert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518235308 PECOS PAC ID: 9234391657 Enrollment ID: I20200107001598 |
| Provider Name | Derek C Eastman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003070855 PECOS PAC ID: 5890121834 Enrollment ID: I20200211000360 |
| Provider Name | Christian Maluf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548223464 PECOS PAC ID: 2567362726 Enrollment ID: I20200429002376 |
| Provider Name | Clifford William Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200514000339 |
| Provider Name | Samantha L Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043758238 PECOS PAC ID: 6103195144 Enrollment ID: I20200519003103 |
| Provider Name | Shannon Haley Frye |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003438029 PECOS PAC ID: 7810312386 Enrollment ID: I20200730002306 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20200929003260 |
| Provider Name | Mahavir K Shridharani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811920390 PECOS PAC ID: 9133138514 Enrollment ID: I20201118002033 |
| Provider Name | Kynan C Trail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962452458 PECOS PAC ID: 6305749912 Enrollment ID: I20201214000255 |
| Provider Name | Katelynn E Badger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710508478 PECOS PAC ID: 0648680058 Enrollment ID: I20201216002588 |
| Provider Name | Robert H Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525357 PECOS PAC ID: 5092129775 Enrollment ID: I20210121001648 |
| Provider Name | James D Langston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629407663 PECOS PAC ID: 5991935405 Enrollment ID: I20210122001633 |
| Provider Name | Bao-ngoc Nasri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649687211 PECOS PAC ID: 5294004974 Enrollment ID: I20210125000935 |
| Provider Name | Kevin R Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922078773 PECOS PAC ID: 4284532011 Enrollment ID: I20210216002251 |
| Provider Name | Jerrol Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316084932 PECOS PAC ID: 2365515079 Enrollment ID: I20210225002549 |
| Provider Name | Javad Scott Mashkuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518168814 PECOS PAC ID: 7911164025 Enrollment ID: I20210309001985 |
| Provider Name | Alexandru Iorga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306231964 PECOS PAC ID: 0749556058 Enrollment ID: I20210315000191 |
| Provider Name | David Mccraney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124111919 PECOS PAC ID: 5799754198 Enrollment ID: I20210608002465 |
| Provider Name | Sephra Alaine Leger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003362344 PECOS PAC ID: 4284034497 Enrollment ID: I20210609002605 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20210706001725 |
| Provider Name | Julia Anne Rittenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013329622 PECOS PAC ID: 8022388016 Enrollment ID: I20210730002556 |
| Provider Name | Jeffrey Raymond Norwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891961413 PECOS PAC ID: 1759575236 Enrollment ID: I20211006002029 |
| Provider Name | Joan Flint |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386804029 PECOS PAC ID: 7618148586 Enrollment ID: I20211013002325 |
| Provider Name | Michael Debusk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356575062 PECOS PAC ID: 5193971844 Enrollment ID: I20211026003262 |
| Provider Name | Stenneth C Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982642146 PECOS PAC ID: 5395702104 Enrollment ID: I20211214002575 |
| Provider Name | Manuel A Falcon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154656049 PECOS PAC ID: 8325187693 Enrollment ID: I20220111000759 |
| Provider Name | Ryan Brass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598025892 PECOS PAC ID: 8022325323 Enrollment ID: I20220201002418 |
| Provider Name | Whiyie Alfonso Sang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952756389 PECOS PAC ID: 2668877499 Enrollment ID: I20220412000444 |
| Provider Name | William A Galvin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366890279 PECOS PAC ID: 6709171283 Enrollment ID: I20220701001008 |
| Provider Name | Jessica Taylor Ainsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942725189 PECOS PAC ID: 6901179506 Enrollment ID: I20220721001300 |
| Provider Name | Steven Tsistrakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992168389 PECOS PAC ID: 4284970567 Enrollment ID: I20220801000191 |
| Provider Name | Rachel J Dussault |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689133613 PECOS PAC ID: 9830428432 Enrollment ID: I20220818002930 |
| Provider Name | Saritha Laxmi Katta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033679550 PECOS PAC ID: 7618353533 Enrollment ID: I20221017001154 |
| Provider Name | Rachel Clark Brayfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275003428 PECOS PAC ID: 0547507717 Enrollment ID: I20221101000308 |
| Provider Name | Camille Menino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962644096 PECOS PAC ID: 5991845992 Enrollment ID: I20230222002091 |
| Provider Name | David Charles Hetzelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750373726 PECOS PAC ID: 8224064449 Enrollment ID: I20230309000406 |
| Provider Name | Deepshikha Nag Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255643078 PECOS PAC ID: 7911299185 Enrollment ID: I20230310001693 |
| Provider Name | Stefan Buca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417121799 PECOS PAC ID: 1850578816 Enrollment ID: I20230331000757 |
| Provider Name | Bryan Mosora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780829168 PECOS PAC ID: 7911036132 Enrollment ID: I20230405001809 |
| Provider Name | Christopher Caracciolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073171435 PECOS PAC ID: 3870821549 Enrollment ID: I20230703002634 |
| Provider Name | Mark Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609372382 PECOS PAC ID: 4486901246 Enrollment ID: I20230919000230 |
| Provider Name | Joseph Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669922993 PECOS PAC ID: 3375822356 Enrollment ID: I20230920001428 |
| Provider Name | Laura Horton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609225242 PECOS PAC ID: 1759675499 Enrollment ID: I20230921001593 |
| Provider Name | Nathan Opland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639590102 PECOS PAC ID: 6103056346 Enrollment ID: I20231003003604 |
| Provider Name | Michael Urdang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578744744 PECOS PAC ID: 4385010610 Enrollment ID: I20240205002605 |
| Provider Name | Natalie Calcatera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700175247 PECOS PAC ID: 2860782422 Enrollment ID: I20240207002720 |
| Provider Name | Wayne Tse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609222967 PECOS PAC ID: 0547554883 Enrollment ID: I20240221003578 |
| Provider Name | Robert L Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508837006 PECOS PAC ID: 0446316350 Enrollment ID: I20240226002691 |
| Provider Name | Ryan J Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477873412 PECOS PAC ID: 1355585290 Enrollment ID: I20240313000547 |
| Provider Name | Steven G Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790781870 PECOS PAC ID: 3173626314 Enrollment ID: I20240403000880 |
| Provider Name | Brendon Kinsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154943553 PECOS PAC ID: 9436576725 Enrollment ID: I20240607000100 |
| Provider Name | Emilie Hedi Lilford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427676972 PECOS PAC ID: 0840732327 Enrollment ID: I20240612001459 |
| Provider Name | Elizabeth Kane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366029159 PECOS PAC ID: 4789084260 Enrollment ID: I20240614000865 |
Coos County Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2900 Fax: 603-752-3727 |