| NPI | 1396121240 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-08-03 |
| Last Updated | 2025-03-19 |
| Authorized Official | Matthew Hogan President Phone: 6032412406 |
| Mailing Address | 100 Griffin Rd Unit B Portsmouth, NH 03801-7158 United States Phone: (603) 692-3166 | Fax: (603) 692-3168 📍 View Map |
| Primary Practice Address | 100 Griffin Rd Unit B Portsmouth, NH 03801-7158 United States Phone: (603) 692-3199 | Fax: (833) 944-2258 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NH | 3103270 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101YA0400X – Counselor, Addiction (Substance Use Disorder) | - | - |
| No | 207LP2900X – Anesthesiology, Pain Medicine | NH | - |
| No | 2083A0300X – Preventive Medicine, Addiction Medicine | - | - |
| Yes | 208D00000X – General Practice | NH | - |
| No | 208VP0000X – | - | - |
| No | 208VP0014X – Pain Medicine, Interventional Pain Medicine | NH | - |
| No | 208VP0014X – Pain Medicine, Interventional Pain Medicine | - | - |
| No | 291U00000X – Clinical Medical Laboratory | NH | - |
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About NPI 1396121240
Pmc Medical Group, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396121240. The primary specialty listed is General Practice. The organization is located in Portsmouth, NH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-08-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396121240?
NPI 1396121240 belongs to Pmc Medical Group, Llc, a General Practice in Portsmouth, NH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396121240 active?
The current status of NPI 1396121240 in the NPPES registry is Active. The record was last updated on 2025-03-19.
What specialty is NPI 1396121240?
NPI 1396121240 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396121240?
You can verify NPI 1396121240 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396121240?
The primary practice address on file for NPI 1396121240 is 100 Griffin Rd Unit B, Portsmouth, NH 03801-7158. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396121240 issued?
NPI 1396121240 was first issued (enumerated) on 2015-08-03. The NPPES record was last updated on 2025-03-19.
Practice Location Map
Pmc Medical Group, Llc is located at 100 Griffin Rd Unit B, Portsmouth, NH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pmc Medical Group, Llc. All records sourced from the CMS NPPES registry.