Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scott S Mirick, PA

Individual provider Surgical Physician Assistant · NPI 1780138495

Scott S Mirick, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2016, 10 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-8537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1179 (NH)

Record details

NPI number1780138495
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2016
Last updated in NPPESSeptember 18, 2019
Mailing address1 Medical Center Dr, Lebanon, NH 03756-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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