WENTWORTH DOUGLASS PHYSICIAN CORPORATION – Magnetic Resonance Imaging Radiologic Technologist, NPI 1447352430
Magnetic Resonance Imaging Radiologic Technologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WENTWORTH DOUGLASS PHYSICIAN CORPORATION
PO BOX 412503
BOSTON, MA 022412503
Phone:
Type: Mailing
7 Marsh Brook Dr Ste 205
Somersworth, NH 038786523
Phone: (603) 742-2007
Type: Location
7 Marsh Brook Dr Ste 200
Somersworth, NH 038786529
Phone: (603) 742-4222
Type: Location
150 Marketplace Blvd
Rochester, NH 038674386
Phone: (603) 516-4212
Type: Location
801 Central Ave Ste 1
Dover, NH 038202529
Phone: (603) 740-9713
Type: Location
158 Route 108
Ste 100
Somersworth, NH 038781106
Phone: (603) 609-6189
Type: Location
73 Corporate Dr Ste 201
Portsmouth, NH 038012847
Phone: (603) 610-8075
Fax: (603) 610-8076
Type: Location
6 Works Way
Somersworth, NH 038781638
Phone: (603) 285-9288
Type: Location
3 Terrascape Pkwy
Somersworth, NH 038781115
Phone: (603) 609-6726
Fax: (603) 609-6727
Type: Location
15 Old Rollinsford Rd Ste 204
Dover, NH 038202869
Phone: (603) 742-7338
Type: Location
8 Century Pines Dr Ste 2
Barrington, NH 038253732
Phone: (603) 664-2135
Type: Location
10 Members Way
Dover, NH 038205933
Phone: (603) 742-2263
Type: Location
36 Madbury Rd
Durham, NH 038242021
Phone: (603) 868-5080
Type: Location
65 Calef Hwy Ste 206
Lee, NH 038616703
Phone: (603) 742-2007
Type: Location
67 Corporate Dr Fl 2
Portsmouth, NH 038012847
Phone: (603) 610-8078
Type: Location
10 Members Way Ste 300
Dover, NH 038205933
Phone: (603) 749-0913
Type: Location
700 Central Ave
Dover, NH 038206434
Phone: (603) 742-2424
Type: Location
67 Corporate Dr Ste 300
Portsmouth, NH 038012847
Phone: (603) 610-8079
Type: Location
67 Corporate Dr Ste 200
Portsmouth, NH 038012847
Phone: (603) 610-8070
Type: Location
770 Central Ave
Dover, NH 038203437
Phone: (603) 742-0101
Type: Location
Wentworth-Douglass Hospital, 789, Central Avenue, Dover, Strafford County, New Hampshire, 03820, United States
DOVER, NH 038202526
Phone: (603) 740-4478
Fax: (603) 740-2244
Type: Mailing
158 ROUTE 108
SUITE 100
SOMERSWORTH, NH 03878
Phone: (603) 609-6181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040409000433 | O | Clinic/Group Practice | NH | TBD |
| O20041014000770 | O | Clinic/Group Practice | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02241)
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