JANESSA I PERALTA (NPI# 1649212846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649212846 |
| Entity Type | Individual |
| Full Name | JANESSA I PERALTA |
| Credential | MD |
| Practice Address |
85 Spring St Suite 504 Lakes Region Pediatrics Laconia NH 03246 |
| Practice Telephone | 6035277121 |
| Practice Fax Number | 6035277124 |
| Mailing Telephone | 6035277121 |
| Mailing Fax Number | 6035277124 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13020 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 1290921 | 01 | |
| ANTHEM | 01YP10636NH01 | 01 | |
| MVP | 4149148 | 01 | |
| NH | 30206045 | 05 | |
| HARVARD PILGRIM HEALTH | AA62493 | 01 | |
| CIGNA | 732288 | 01 |
| Street Address |
85 SPRING ST SUITE 504 LAKES REGION PEDIATRICS |
| City | LACONIA |
| State | NH |
| Zip Code | 03246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028870 | Jennifer Pearson | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-28 |
| 1871037218 | Stacy Casella | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-05 |
| 1700331584 | Laconia Internal Medicine, Pllc | Internal Medicine | 85 Spring St, Suite 404, Laconia, NH 03246-3113 | 2016-08-22 |
| 1194016162 | Lrghealthcare | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2011-04-26 |
| 1417261033 | Ana C Zamora Martinez | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2010-08-06 |
| 1992024533 | Patrick Ryan Stevens | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2010-05-21 |
| 1649598012 | Lrghealthcare | Clinic/Center | 85 Spring St, Suite 302, Laconia, NH 03246-3169 | 2010-05-11 |
| 1184958464 | Venkatram Nethala Md PC | Internal Medicine | 85 Spring St, Suit # 3b, Laconia, NH 03246-3113 | 2009-09-20 |
| 1508199027 | Carlene M Vasquez-brown | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2009-09-16 |
| 1871753830 | Kamen Sashev Rangelov | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2008-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306895826 | Kicki Sara Wehlou | Pediatrics | 85-87 Spring Street, Co Dr Willet, Laconia, NH 03246 | 2006-05-10 |
| 1598180341 | Neta Duvdevany | Pediatrics | 724 N Main St, Laconia, NH 03246-2742 | 2014-03-03 |
| 1053751099 | Ana Silvia Del Socorro Hernandez Aviles | Pediatrics | 724 N Main St, Laconia Clinic, Laconia, NH 03246-2742 | 2013-07-03 |
| 1831418417 | Rajesh Pandey | Pediatrics | 724 North Main Street, Laconia, NH 03246-2742 | 2010-05-22 |
| 1265463491 | Michael Groenke | Pediatrics | 724 N Main St, Laconia, NH 03246-2742 | 2006-07-05 |
| 1124093562 | Lee R Willett | Pediatrics | 85 Spring St, Laconia, NH 03246-3113 | 2006-02-21 |
| 1972506798 | Spencer John Brody | Pediatrics | 102 Court St, Laconia, NH 03246-3635 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588033 | Serafin Craig Anderson | Pediatrics | 32 Orchard View Dr, Wilton, NH 03086-5733 | 2011-07-25 |
| 1699954529 | Hala S Tabbah | Pediatrics | 125 South Main Street, Franklin, NH 03235-1508 | 2007-10-27 |
| 1376738096 | Ammonoosuc Community Health Services, Inc | Pediatrics | 40 Railroad St, Woodsville, NH 03785-1118 | 2007-09-06 |
| 1508056391 | Santa C Ngo | Pediatrics | 21 Riverside Dr, Dover, NH 03820-4654 | 2007-07-27 |
| 1174603849 | Derry Pediatrics | Pediatrics | 43 B Birch Street, Derry, NH 03038 | 2006-10-17 |
| 1538255138 | Jane Liechty Glidden | Pediatrics | 116 Spit Brook Rd., Nashua, NH 03062-4216 | 2006-10-04 |
| 1851483986 | Ann C Bracken | Pediatrics | 7 Rope Ferry Rd, Dartmouth College Health Service, Hanover, NH 03755-1404 | 2006-09-28 |
| 1194822437 | Sumana Myneni | Pediatrics | Neonatology- Pediatric Hospitalist, 8 Prospect Street, Nicu, Nashua, NH 03060 | 2006-09-20 |
| 1740296961 | Mark David Weinreb | Pediatrics | 446 Central St, Franklin, NH 03235-1777 | 2006-07-31 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
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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.