John J Fothergill (NPI# 1336198175, PAC ID# 9436144607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336198175 |
| PAC ID by PECOS | 9436144607 |
| Professional Enrollment ID | I20040723000825 |
| Full Name | John J Fothergill |
| Organization Legal Name | NORTH COUNTRY MEDICAL AND WELLNESS LLC |
| Address |
152 Colby St Colebrook NH 03576-3049 |
| Phone Number | 6033310500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951661164 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301300 | UPPER CONNECTICUT VALLEY HOSPITAL |
| 301310 | ANDROSCOGGIN VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 152 Colby St, Colebrook, NH 03576-3049 | 6033310500 | NORTH COUNTRY MEDICAL AND WELLNESS LLC |
| Organization Legal Name | NORTH COUNTRY MEDICAL AND WELLNESS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Skillin | Physician Assistant | North Country Medical and Wellness LLC | 152 Colby St, Colebrook, NH 03576-3049 |
| Kathryn R Martin | Physician Assistant | North Country Medical and Wellness LLC | 152 Colby St, Colebrook, NH 03576-3049 |
| Street Address |
152 COLBY ST |
| City | COLEBROOK |
| State | NH |
| Zip | 03576-3049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Skillin | Physician Assistant | North Country Medical and Wellness LLC | 152 Colby St, Colebrook, NH 03576-3049 |
| Kathryn R Martin | Physician Assistant | North Country Medical and Wellness LLC | 152 Colby St, Colebrook, NH 03576-3049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca M Underwood | Physical Therapy | 118 Main St, Suite 6, Colebrook, NH 03576-2000 | |
| Karen L Madsen | Nurse Practitioner | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Peter C. Moran | Family Medicine | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Kathleen A Killeen | Clinical Social Worker | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Elizabeth R Sweeney | Family Medicine | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Bryn S Jay | Clinical Social Worker | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Margaret R Fitzgerald | Nurse Practitioner | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Yoomi Lee | Nurse Practitioner | Indian Stream Health Center, Inc. | 141 Corliss Ln, Colebrook, NH 03576-3206 |
| Hermann P Sigbjarnarson | General Surgery | Upper Connecticut Valley Hospital Association | 181 Corliss Ln, Colebrook, NH 03576-3207 |
| Todd D Hope | Internal Medicine | Upper Connecticut Valley Hospital Association | 181 Corliss Ln, Colebrook, NH 03576-3207 |
| Find all physicians in zip 03576 | |||
| City | COLEBROOK |
| Zip Code | 03576 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLEBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John J Fothergill.
| 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.