Provider Demographics
NPI:1528028610
Name:HOUDE, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:HOUDE
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 1:10 ALICE PECK DAY DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-2694
Mailing Address - Country:US
Mailing Address - Phone:603-448-3121
Mailing Address - Fax:603-448-7462
Practice Address - Street 1:10 ALICE PECK DAY DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-2900
Practice Address - Country:US
Practice Address - Phone:603-442-5630
Practice Address - Fax:603-446-7469
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420010413207X00000X
NH11504207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHF75854OtherHARVARD PILGRIM
VT602933OtherMVP
NH01Y004009NH01OtherANTHEM BC/BS OF NEW HAMPSHIRE
NH1387569OtherCIGNA HEALTHCARE
NH30203221Medicaid
VT1009003Medicaid
NH421539118OtherUNITED HEALTHCARE
VT58952OtherBCVT
NH2972483OtherAETNA
VT58952OtherBCVT
NH2972483OtherAETNA
VTVN3274Medicare PIN