Provider Demographics
NPI:1043214711
Name:THESING, GREGORY J (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:J
Last Name:THESING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ANTRIM RD
Mailing Address - Street 2:HDFH
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244-5204
Mailing Address - Country:US
Mailing Address - Phone:603-464-3434
Mailing Address - Fax:603-464-3440
Practice Address - Street 1:15 ANTRIM RD
Practice Address - Street 2:HDFH
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244-5204
Practice Address - Country:US
Practice Address - Phone:603-464-3434
Practice Address - Fax:603-464-3440
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0103007YPNH01OtherANTHEM ID#
NH2445134OtherAETNA ID#
NH222594672OtherHEALTHCARE VALUE MANANGE#
NH222594672OtherGREATWEST HEALTHCARE ID#
NH07-04269OtherTRICARE ID#
NHG44636OtherHARVARD PILGRIM ID#
NHH005016OtherTRICARE ID#
NH2139312OtherCIGNA ID#
NH30010092Medicaid
NH80199585OtherRAILROAD MEDICARE ID#
NH0103007Y0NH01OtherANTHEM ID# FHC
NH222594672OtherPRIVATE HEALTH CARE ID#
NH4126964OtherMVP ID#
NH383153OtherMVP-FHC BILLING NUMBER
NH222594672OtherHEALTHCARE VALUE MANANGE#
NH30010092Medicaid