Provider Type Icon

EVERGREEN WOMENS HEALTH CARE PLLC NPI 1891754974


NPI Information

NPI: 1891754974
Provider Name: EVERGREEN WOMENS HEALTH CARE PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
280 MAIN ST
SUITE 131
NASHUA, NH
ZIP 03060
Phone: (603) 882-0555
Get Directions

EVERGREEN WOMENS HEALTH CARE PLLC is an obstetrics gynecology in Nashua, NH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EVERGREEN WOMENS HEALTH CARE PLLC NPI is 1891754974. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

280 MAIN ST
SUITE 131
NASHUA, NH
ZIP 03060-919
Phone: (603) 882-0555
Fax: (603) 882-0360

The provider's authorized official is Alan J Green .
The authorized official title is Owner and has the following contact phone number (603) 882-0555.

The enumeration date for this NPI number is 3/19/2006 and was last updated on 9/28/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LW0102XNurse PractitionerWomen's HealthNo
4363LX0001XNurse PractitionerObstetrics & GynecologyNo
5207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERNEW HAMPSHIREHCVM / FIRST HEALTH
230D1022401OTHERNEW HAMPSHIRECLIA
380031OTHERNEW HAMPSHIREHEALTHSOURCE
4=========OTHERNEW HAMPSHIRECIGNA HEALTHCARE
5DB4843MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIRERAILROAD MEDICARE
6696747OTHERMASSACHUSETTSTUFTS HEALTH PLAN
730212533MEDICAIDNEW HAMPSHIRE
8M18351OTHERMASSACHUSETTSBCBSMA
9701468000OTHERNEW HAMPSHIREMAGELLAN BEHAVIORAL
10RE7451MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIRE
113407428OTHERNEW HAMPSHIREAETNA HEALTHCARE
12=========OTHERNEW HAMPSHIRETRICARE
134992230001MEDICARE NSCNEW HAMPSHIRE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.