REVERFRONT MEDICAL GROUP, PC
NPI 1386860716
Specialist in Tilton, NH
- Organization
- Specialist
About REVERFRONT MEDICAL GROUP, PC
This page provides the complete NPI Profile along with additional information for Reverfront Medical Group, Pc, a provider established in Tilton, New Hampshire operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1386860716 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 11415 (NH). The provider is registered as an organization and their NPI record was last updated 18 years ago. Reverfront Medical Group, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Susan Marie Hare M.d. (Owner)
- NPI
- 1386860716 Verify this NPI
- Provider Name
- REVERFRONT MEDICAL GROUP, PC
- Entity Type
- Organization
- Location Address
- 322 W MAIN ST SUITE 133 TILTON, NH 03276
- Location Phone
- (603) 286-3800
- Mailing Address
- 322 W MAIN ST SUITE 133 TILTON, NH 03276
- Mailing Phone
- (603) 286-3800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2007
- Last Update Date
- 07-30-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 11415
- License State
- NH
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 10967 (NH) |
| 2 | 174400000X | Other Service Providers | Specialist | 0185862302 (NH) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30214683 | MEDICAID (05) | NH |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
TILTON, NH 03276
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386860716, enumerated as an "organization" on April 17, 2007.
The provider is located at 322 W MAIN ST SUITE 133 TILTON, NH 03276 and the phone number is (603) 286-3800.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
