Provider Demographics
NPI:1083745962
Name:THOMAS A. CHASSE, M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS A. CHASSE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-431-8881
Mailing Address - Street 1:875 GREENLAND RD UNIT B11
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4162
Mailing Address - Country:US
Mailing Address - Phone:603-431-8881
Mailing Address - Fax:603-436-6809
Practice Address - Street 1:875 GREENLAND RD UNIT B11
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4162
Practice Address - Country:US
Practice Address - Phone:603-431-8881
Practice Address - Fax:603-436-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30211101Medicaid
NH30211101Medicaid
NHA67905Medicare UPIN