Provider Demographics
NPI:1932101318
Name:MENKE, THOMAS SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:SCOTT
Last Name:MENKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WEST RD STE B
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2612
Mailing Address - Country:US
Mailing Address - Phone:603-475-2010
Mailing Address - Fax:603-684-2434
Practice Address - Street 1:4 WEST RD
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2612
Practice Address - Country:US
Practice Address - Phone:603-772-2076
Practice Address - Fax:603-684-2434
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH7130207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80000020Medicaid
NHB85966Medicare UPIN
NHRE0200Medicare PIN