DR. SCOTT R MASTERSON (NPI# 1598751323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598751323 |
| Entity Type | Individual |
| Full Name | DR. SCOTT R MASTERSON |
| Credential | M.D. |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110 |
| Mailing Address |
4 Hawthorne Dr Bedford NH 03110-6983 |
| Practice Telephone | 6034728888 |
| Practice Fax Number | 6034729090 |
| Mailing Telephone | 6034728888 |
| Mailing Fax Number | 6034729090 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 8092 | NH | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 70585 | MA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
8092 | NH | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
70585 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FCHP | 23592 | 01 |
| MA | CIGNA | 0035350-001 | 01 |
| NH | ANTHEM | 0102646Y0MA01 | 01 |
| MA | UHC | 23-00008 | 01 |
| MA | AETNA | 4374984 | 01 |
| MA | BCBS | J08600 | 01 |
| MA | 3052303 | 05 | |
| MA | EVERCARE | 23-00143 | 01 |
| MA | NHP | 0003756 | 01 |
| NH | 3003093 | 05 | |
| MA | HPHC | 80317 | 01 |
| MA | THP | 715271 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 354 Merrimack St, Lawrence, MA 018431754 | 9786872321 | 9787227287 |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1871154179 | Brenna R. Erzen | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2019-06-26 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1306200423 | Timothy Miller | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2016-04-06 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1710971957 | Zubin S Batlivala | Physical Medicine & Rehabilitation | 4 Hawthorne Dr, Suite 2, Bedford, NH 03110-6983 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669659793 | Jeremy Giere Collins | Physical Medicine & Rehabilitation | 1 Mound Ct, Merrimack, NH 03054-4488 | 2008-01-31 |
| 1922397082 | Abdullah Kandil | Physical Medicine & Rehabilitation | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2011-03-29 |
| 1568584407 | New Era Medicine Pllc | Physical Medicine & Rehabilitation | 87 Mcgregor St, Suite 3200, Manchester, NH 03102-3765 | 2007-04-04 |
| 1811025877 | Pain Solutions Pllc | Physical Medicine & Rehabilitation | 280 Main Street, Suite 330, Nashua, NH 03060 | 2007-03-01 |
| 1891823852 | Pain Solutions Wellness Network | Physical Medicine & Rehabilitation | 280 Main Street, Suite 330, Nashua, NH 03060 | 2007-03-01 |
| 1558441949 | Barry Charles Gendron | Physical Medicine & Rehabilitation | 875 Greenland Rd, Suite C4, Portsmouth, NH 03801-4164 | 2006-10-17 |
| 1912931387 | David J Nagel | Physical Medicine & Rehabilitation | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
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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.