MEDICARE: JOHN ALLEN DITRI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	11444	NH
2	208100000X	Physical Medicine & Rehabilitation Physician	036177891	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	250013258	OTHER	NH	RAILROAD MEDICARE PROV #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01Y003572NH01	OTHER	NH	ANTHEM BC/BS OF NH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	11444	OTHER		MEDICAL LICENSE NUMBER
4	12558721	OTHER	VT	BC OF VERMONT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770693426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ALLEN DITRI MD

Provider Business Mailing Address
First Line	:	590 COURT ST
Second Line	:
City	:	KEENE
State	:	NH
Zip	:	03431-1719
Country	:	US
Telephone Number	:	603-354-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 COURT ST
Second Line	:
City	:	KEENE
State	:	NH
Zip	:	03431-1719
Country	:	US
Telephone Number	:	603-354-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/03/2025

Similar Medicare Providers

1417964271 — DR. TODD ADAM SILBERSTEIN D.O.
Practice Location Address:

590 COURT ST
KEENE, NH
03431-1719

Practice Phone: 603-354-5454
Practice Fax: 603-640-1228

1205095825 — DR. SARAH ANN TAYLOR-BLACK MD
Practice Location Address:

590 COURT ST
KEENE, NH
03431-1719

Practice Phone: 603-354-5454
Practice Fax: 603-640-1228

1477558385 — DR. MARIKA L HENEGAN MD
Practice Location Address:

590 COURT ST , DARTMOUTH-HITCHCOCK KEENE
KEENE, NH
03431-1719

Practice Phone: 603-354-5400
Practice Fax: 603-354-6562

1275525545 — DR. ARNOLD J WILLIS MD
Practice Location Address:

590 COURT ST
KEENE, NH
03431-1719

Practice Phone: 603-354-5400
Practice Fax:

1710978838 — LARRY D ROBBINS D.O.
Practice Location Address:

590 COURT ST , ANESTHESIOLOGY
KEENE, NH
03431-1719

Practice Phone: 603-354-5400
Practice Fax:

1265416119 — RANDALL R LONG M.D.PHD
Practice Location Address:

590 COURT ST
KEENE, NH
03431-1719

Practice Phone: 603-354-5454
Practice Fax:

Directions to “ JOHN ALLEN DITRI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.