| Genesis Eldercare Physician Services Llc | |
|
239 Pleasant St Pleasant View Nursing Center Concord NH 03301 | |
| (603) 224-6561 | |
| (603) 224-8530 |
| Full Name | Genesis Eldercare Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 Pleasant St, Concord, New Hampshire |
| Authorized Official Name and Position | Eric Shapiro (VP, CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 239 Pleasant St Pleasant View Nursing Center Concord NH 03301 Ph: (603) 224-6561 |
| NPI Number | 1821011792 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20040224000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821011792 | NPI | - | NPPES |
| 30212261 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 045267-23-03 (New Hampshire) | Secondary |
| Provider Name | Barbara L Steinbrecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699731414 PECOS PAC ID: 8224000377 Enrollment ID: I20040809001368 |
| Provider Name | Magued Y Rizkalla Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538259502 PECOS PAC ID: 4587685441 Enrollment ID: I20051207000954 |
| Provider Name | Caitlin C Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477514610 PECOS PAC ID: 9830105493 Enrollment ID: I20060306000767 |
| Provider Name | Vercin S Ephrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366468928 PECOS PAC ID: 2961405741 Enrollment ID: I20060816000557 |
| Provider Name | Kasra Djalayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093816761 PECOS PAC ID: 4789789983 Enrollment ID: I20070417000477 |
| Provider Name | Ayobami O Ojutalayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396907812 PECOS PAC ID: 9133305410 Enrollment ID: I20110523000042 |
| Provider Name | Julianne Murthi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205825296 PECOS PAC ID: 6204805070 Enrollment ID: I20120202000268 |
| Provider Name | Marva F Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407941420 PECOS PAC ID: 4981640364 Enrollment ID: I20130708000384 |
| Provider Name | Haris Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821379512 PECOS PAC ID: 0749503167 Enrollment ID: I20141216000574 |
| Provider Name | Brian T Trezak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003913526 PECOS PAC ID: 1759331168 Enrollment ID: I20160928001206 |
| Provider Name | Ludovic Duffroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655032 PECOS PAC ID: 6608155874 Enrollment ID: I20161110000526 |
| Provider Name | Jennifer Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023553344 PECOS PAC ID: 1355623570 Enrollment ID: I20170124002068 |
| Provider Name | Jatinder Aujla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275700825 PECOS PAC ID: 7214000207 Enrollment ID: I20170518001622 |
| Provider Name | Vikramaditya Samala Venkata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902211659 PECOS PAC ID: 3779855804 Enrollment ID: I20170823003824 |
| Provider Name | Bonnie Lapierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326552308 PECOS PAC ID: 8628338977 Enrollment ID: I20180205001800 |
| Provider Name | Kathryn M Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830903 PECOS PAC ID: 9830442326 Enrollment ID: I20181031000297 |
| Provider Name | Lorna M Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902203 PECOS PAC ID: 2365795077 Enrollment ID: I20190222001835 |
| Provider Name | Lorraine A Sutphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871062505 PECOS PAC ID: 9032450564 Enrollment ID: I20190521002757 |
| Provider Name | Nelson K Aweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923199 PECOS PAC ID: 0749423507 Enrollment ID: I20190730002093 |
| Provider Name | Stacie Leigh Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306491816 PECOS PAC ID: 3870821309 Enrollment ID: I20190822000414 |
| Provider Name | Amanda Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891062691 PECOS PAC ID: 4880847102 Enrollment ID: I20200303000962 |
| Provider Name | Roni Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871143545 PECOS PAC ID: 0648604918 Enrollment ID: I20200324002495 |
| Provider Name | Julie Lynn Ferland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720605645 PECOS PAC ID: 6901222736 Enrollment ID: I20200811002849 |
| Provider Name | Jayme Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534864 PECOS PAC ID: 2466865548 Enrollment ID: I20210109000084 |
| Provider Name | Ellen Alexina Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144921 PECOS PAC ID: 6608280672 Enrollment ID: I20210203000240 |
| Provider Name | Heather Paterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598364929 PECOS PAC ID: 3375947922 Enrollment ID: I20210804003235 |
| Provider Name | Paula Marie Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700549292 PECOS PAC ID: 7416340120 Enrollment ID: I20220201002293 |
| Provider Name | Shannon Murphy-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807114 PECOS PAC ID: 5890180434 Enrollment ID: I20220318000215 |
| Provider Name | Colleen Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619351624 PECOS PAC ID: 1254630981 Enrollment ID: I20221025002294 |
| Provider Name | Stephanie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215642400 PECOS PAC ID: 3476925959 Enrollment ID: I20230209001083 |
| Provider Name | Michelle Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831892033 PECOS PAC ID: 7214393909 Enrollment ID: I20230523001332 |
| Provider Name | Elizabeth Dow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962157537 PECOS PAC ID: 7719365097 Enrollment ID: I20230530000217 |
| Provider Name | Danielle Robin Catanese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932881570 PECOS PAC ID: 7315309689 Enrollment ID: I20230817003978 |
| Provider Name | Katelyn Buswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669231767 PECOS PAC ID: 0749628097 Enrollment ID: I20240404003565 |
| Provider Name | Adel El Boueiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609010180 PECOS PAC ID: 8921251000 Enrollment ID: I20240412001575 |
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Concord Gastroenterology Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Commercial St, Suite 404, Concord, NH 03301 Phone: 603-228-1763 Fax: 603-228-7088 | |
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