Puddle Dock Pediatrics is a welcoming, innovative, and patient-centered pediatric practice located in Portsmouth, NH.
Alyssa Reyes Smith, MD, FAAP, IBCLC
Walter Hoerman, MD, FAAP
Appointments are available on Tuesdays, Wednesdays, and Thursdays. Call or message us to secure your child's slot.
Puddle Dock Pediatrics strives to provide the highest quality, evidence-based medical care for infants, children and teens in a warm and caring environment! We are currently welcoming all newborns, with a waitlist for families looking to transfer from another practice.
Choosing a pediatrician for your child is an important decision! We value effective communication and strive to establish long term relationships built on mutual respect and trust.
In order to be as accessible as possible to the families in our community, we take most insurances, including Medicaid.
Be confident that you are treating your child’s pain or fever with the correct dose of medication. We can guide you on how much to give, based on your child’s weight.
We are pleased to offer you a library of expert advice from the American Academy of Pediatrics. Browse this collection of over 800 handouts by topic or symptom.
September 9, 2025
Appointments are available on weekdays, with additional late afternoon appointments on select Tuesdays, and a weekend clinic on Saturday 9/27. Call or message us to secure your child’s slot.
Please note that we are awaiting state guidance on how to deliver COVID vaccines to children this respiratory season. Updates will be shared here as soon as we know more. Thank you for your patience.
At Puddle Dock, we follow the AAP vaccine schedule - here is how many pokes you can expect per visit. Thanks to scientific advancements including combination vaccines, your child gets fewer injections but maximum protection! (Credit for original graphic to @bloomdpc)
Happy National Doctors Day! We celebrated our two incredible pediatricians today: Dr. Smith and Dr. Hoerman! 🩺
Did you know we are looking to add a THIRD fabulous physician to our crew? Check out our Pediatrician job listing at puddledockpediatrics.com/about/#join-our-team
Officially introducing the newest member of the team: Lottie! 🩷 Yes, this is our OG nurse Brooke’s babe, and she is as sweet in person as she looks. Congratulations to Brooke and AJ, we are honored to walk alongside you on your parenting journey!
Meet EMILY! 🌈 With over a decade of experience as a Registered Nurse in busy ER and surgical settings, she brings calm, skill, and compassion to every family she meets. Emily is a Certified Lactation Consultant and loves guiding new parents as they navigate feeding and the early weeks of life. Read the rest of her bio at www.puddledockpediatrics.com/about/#meet-our-team
Meet AMANDA! ☀️ She began her nursing career in a busy Emergency Department, where she discovered her love for working with pediatric patients and supporting their families through both urgent and everyday health concerns. Amanda is delighted to join the Puddle Dock Pediatrics team, where she can continue providing compassionate care to the children of the Seacoast. Read the rest of her bio at www.puddledockpediatrics.com/about/#meet-our-team
Our next big announcement: new faces at Puddle Dock! 🌈 Meet Emily and Amanda, our dynamic duo of nurses who joined the team this month. Many of you have already met them in person or chatted with them in Spruce. We are thrilled to welcome them and you can read their full bios soon at puddledockpediatrics.com/about/#meet-our-team