Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 13643 | NH |
N | 207YS0123X | Facial Plastic Surgeon | 13643 | NH |
NPI | 1235142480 |
---|---|
Provider Name | Ryan B Scannell |
First Address | Laconia, NH 03246-3113 |
Second Address | Newburyport, MA 01950-3864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 18/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000164101 | (02) | |
01Y012271NH01 | BCBS (01) | |
0742513 | CIGNA (01) | |
30207005 | (05) | NH |
7976870 | AETNA (01) | |
9607945 | GHI (01) | |
AA95773 | HARVARD PILGRIM (01) | |
I67437 | ACS/HEALTHNET OF NE (01) |