Provider Demographics
NPI:1942220264
Name:ROCKINGHAM ORTHOPAEDIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ROCKINGHAM ORTHOPAEDIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-216-3366
Mailing Address - Street 1:8 ALMAS RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1105
Mailing Address - Country:US
Mailing Address - Phone:603-437-2523
Mailing Address - Fax:603-216-3365
Practice Address - Street 1:44 BIRCH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2752
Practice Address - Country:US
Practice Address - Phone:603-216-3366
Practice Address - Fax:603-216-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30213757Medicaid
NH5469460001Medicare NSC
NHRE8217Medicare PIN