Provider Demographics
NPI:1649208539
Name:VAILAS, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:VAILAS
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 1:17 RIVERSIDE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1304
Mailing Address - Country:US
Mailing Address - Phone:603-883-0091
Mailing Address - Fax:603-881-3739
Practice Address - Street 1:9 WASHINGTON PLANCE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110
Practice Address - Country:US
Practice Address - Phone:603-883-0091
Practice Address - Fax:603-881-3739
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8016207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1861558645OtherNPI, PROVIDER LOCATION
NH1922164797OtherNPI, PROVIDER LOCATION
NH30005727Medicaid
NH6726862OtherCIGNA PROVIDER #
NH0103090Y0NH01OtherANTHEM BSBC PROVIDER #
NH1801952692OtherNPI, PROVIDER LOCATION
NH1881772242OtherNPI, PROVIDER LOCATION
NH1841320207OtherNPI, PROVIDER LOCATION
NHB937091OtherHARVARD PILGRIM PROVIDER#
NH1932256914OtherNPI, PROVIDER LOCATION
NH1922164797OtherNPI, PROVIDER LOCATION
NH6726862OtherCIGNA PROVIDER #
NH0132510003Medicare NSC
NH0132510005Medicare NSC
NH0132510002Medicare NSC
NH0132510001Medicare NSC
RE1081Medicare PIN