CHERIE DARLENE ERTHA M.D. NPI 1629090600

NPI Information

NPI: 1629090600
Provider Name: CHERIE DARLENE ERTHA, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 103 BOULDER POINT DR
PLYMOUTH, NH
ZIP 03264
Phone: (603) 536-1881

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NPI Details

Cherie Darlene Ertha, M.D. is a family medicine in Plymouth, NH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Cherie Darlene Ertha, M.D. NPI is 1629090600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 BOULDER POINT DR
PLYMOUTH, NH
ZIP 03264-168
Phone: (603) 536-1881

The NPI 1629090600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 1/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		28155	WEST VIRGINIA	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	80607	MASSACHUSETTS	No
3	207Q00000X	Family Medicine		80607	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3142418	MEDICAID	MASSACHUSETTS
2	080607	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	J31270	OTHER	MASSACHUSETTS	BLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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