Robert Theriault (NPI# 1073551982, PAC ID# 5799741591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1073551982 |
PAC ID by PECOS | 5799741591 |
Professional Enrollment ID | I20041203000326 |
Full Name | Robert Theriault |
Address |
226 Broad St Suite 1 Nashua NH 03063-3121 |
Gender | M |
Credential | DO |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1991 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
300020 | SOUTHERN NH MEDICAL CENTER |
300011 | ST JOSEPH HOSPITAL |
Address | Phone | Organization |
---|---|---|
226 Broad St, Suite 1, Nashua, NH 03063-3121 |
Street Address |
226 BROAD ST SUITE 1 |
City | NASHUA |
State | NH |
Zip | 03063-3121 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas F Scadova | Optometry | Eye Practice of Nashua Pllc | 451 Amherst St, Suite 102, Nashua, NH 03063-1200 |
Tracey Jameson | Optometry | Eye Practice of Nashua Pllc | 451 Amherst St, Suite 102, Nashua, NH 03063-1200 |
Richard H Robillard | Optometry | Thomas F Scadova Pllc | 451 Amherst St, Nashua, NH 03063-1200 |
Arthur G. Fitzmaurice Jr. | Internal Medicine | St. Joseph Hospital of Nashua Nh | 460 Amherst St, Nashua, NH 03063-1220 |
Eileen M Fiori | Clinical Social Worker | Community Council of Nashua Nh Inc | 440 Amherst St, Nashua, NH 03063-1225 |
Holly M Rioux | Clinical Social Worker | Community Council of Nashua Nh Inc | 440 Amherst St, Nashua, NH 03063-1225 |
Janette B Trudo | Clinical Social Worker | Community Council of Nashua Nh Inc | 440 Amherst St, Nashua, NH 03063-1225 |
Christine Klein | Clinical Social Worker | Community Council of Nashua Nh | 440 Amherst St, Nashua, NH 03063-1225 |
Joel Podolsky | Psychiatry | Community Council of Nashua Nh | 440 Amherst St, Nashua, NH 03063-1225 |
Lisa Miffitt | Nurse Practitioner | Community Council of Nashua Nh | 440 Amherst St, Nashua, NH 03063-1225 |
Find all physicians in zip 03063 |
City | NASHUA |
Zip Code | 03063 |
Specialty | FAMILY MEDICINE |
City + Specialty | NASHUA + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.