SPEARE MEMORIAL HOSPITAL (NPI# 1346487956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346487956 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Other Organization Name | EMERGENCY DEPARTMENT |
| Practice Address |
16 Hospital Road Emergency Medicine Plymouth NH 03264 |
| Mailing Address |
16 Hospital Rd Emergency Department Plymouth NH 03264-1126 |
| Practice Telephone | 6032386480 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | MICHELLE L MCEWEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6035361120 |
| Authorized Official Credential | PRESIDENT/CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | SPEARE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1001953 | 05 | |
| NH | 3081034 | 05 |
| Other Name | Type Code |
|---|---|
| Emergency Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297359 | Speare Memorial Hospital | Clinic/Center | 1 Ski Area Road, Waterville Valley, NH 03215 | 2006-08-25 |
| 1568480622 | Speare Memorial Hospital | Specialist | 19 Avery St, Plymouth, NH 03264-1130 | 2006-07-17 |
| 1326587635 | Speare Memorial Hospital | Clinic/Center | 71 Highland St, Plymouth, NH 03264-1233 | 2017-02-20 |
| 1861823999 | Speare Memorial Hospital | Surgery | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-11-27 |
| 1487943700 | Speare Memorial Hospital | Family Medicine | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2011-04-07 |
| 1104153535 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2009-11-05 |
| 1528213428 | Speare Memorial Hospital | Orthopaedic Surgery | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2008-11-20 |
| 1346402047 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-06-25 |
| 1164696225 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-04-18 |
| 1932378726 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPEARE MEMORIAL HOSPITAL | 16 Hospital Rd, Plymouth, NH 03264-1126 |
| Street Address |
16 HOSPITAL ROAD EMERGENCY MEDICINE |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126903 | Michael Sochat | Emergency Medicine | 16 Hospital Road, Emergency Medicine Department, Plymouth, NH 03264 | 2005-12-27 |
| 1568685253 | Ralph Patrick Broadwater | Emergency Medicine | 16 Hospital Road, Emergency Medicine Department, Plymouth, NH 03264 | 2007-04-11 |
| 1184792566 | John Nevin Bentwood | Specialist | 16 Hospital Road, Plymouth, NH 03264 | 2006-12-01 |
| 1205933660 | Kathleen A. Lutter | Dietitian, Registered | 16 Hospital Road, Speare Memorial Hospital, Food & Nutrition Services, Plymouth, NH 03264 | 2006-09-20 |
| 1033229596 | Brittania Mcdonald | Physician Assistant | 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | 2006-08-30 |
| 1316955990 | Mark J Banister | Obstetrics & Gynecology | 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | 2006-08-03 |
| 1881602472 | Joseph A Ebner | Obstetrics & Gynecology | 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | 2006-08-03 |
| 1316965478 | Joseph Casey | Specialist | 16 Hospital Road, Speare Surgical Services, Plymouth, NH 03264 | 2006-07-17 |
| 1891742375 | John J Jehl | Internal Medicine | 16 Hospital Road, Speare Hospitalist Program, Plymouth, NH 03264 | 2006-05-28 |
| 1952360430 | James Peter Koren | Surgery | 16 Hospital Road, Speare Surgical Services, Plymouth, NH 03264 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
| 1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
| 1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
| 1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
| 1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
| 1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| Find all providers in zip 03264 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1407110174 | Mark Travis Hemming | Emergency Medicine | 46920 N Territorial Rd, Plymouth, MI 48170-3067 | 2012-06-27 |
| 1194804179 | Vidvud Valdmanis | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1013096098 | Douglas Mcvicar | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1548349533 | Alex G. Medlicott | Emergency Medicine | 16 Hospital Road, Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1285672576 | Charles D Schaub IIi | Emergency Medicine | 275 Sandwich Street, Jordan Hospital, Plymouth, MA 02360 | 2006-06-02 |
| 1275570459 | Patricia E Sullivan | Emergency Medicine | 275 Sandwich St., Jordan Hospital, Plymouth, MA 02360 | 2006-05-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| 1770558264 | Mauricio E Palencia | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2006-02-20 |
| 1417937491 | Christopher M Callahan | Emergency Medicine | 14700 28th Ave N Ste 25, Plymouth, MN 55447 | 2006-01-18 |
| Find all providers in PLYMOUTH | ||||
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| 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.