Organization
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Active
Organization
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DEGENAARS (EXECUTIVE DIRECTOR OF FINANCE)
(603) 740-2806
Entity
Organization
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133V00000X
Registered Dietitian
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
NH
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081002
—
NH
05
—
3084198
—
NH
05
—
3123060
—
NH
Enumeration date
09/01/2006
Last updated
12/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up