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NPI 1114689007ActiveOrganization· Family Medicine· Portsmouth, NH
Family Medicine in Portsmouth, New Hampshire, registered in NPPES in October 2021. The authorized official on file is Jarod Boissonneault, Director Of Revenue Cycle Mgt.
Overview
| NPI | 1114689007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2021 |
| Last updated in NPPES | Nov 30, 2023 |
| Certified by provider | Nov 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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