KEADY FAMILY PRACTICE, LLC (NPI# 1033466784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033466784 |
| Entity Type | Organization |
| Organization Name | KEADY FAMILY PRACTICE, LLC |
| Practice Address |
157 Main St Charlestown NH 03603-4914 |
| Mailing Address |
Po Box 93 Charlestown NH 03603-0093 |
| Practice Telephone | 6038637777 |
| Practice Fax Number | 6037693406 |
| Mailing Telephone | 6038263434 |
| Mailing Fax Number | 6037693406 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MR. JAMES PATRICK KEADY JR. (PRACTICE MANAGER) |
| Authorized Official Telephone | 6038263434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
052532-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
157 MAIN ST |
| City | CHARLESTOWN |
| State | NH |
| Zip Code | 03603-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295017598 | Tracy Grieman Duncan | Nurse Practitioner | 157 Main St, Charlestown, NH 03603-4914 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851506646 | Fall Mountain Regional School District | Local Education Agency (LEA) | 159 East Street, Charlestown, NH 03603 | 2007-05-14 |
| 1487722260 | George H. Grabe | Dentist | 275 Main St., Charlestown, NH 03603 | 2006-12-01 |
| 1780601419 | Clare Barrett Gowen | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Pt Associates Inc, Charlestown, NH 03603 | 2006-07-17 |
| 1558334656 | Cecilia M Vicuna Keady | Family Medicine | 157 Main Street, Charlestown, NH 03603 | 2006-02-09 |
| 1750391397 | Tammy Lee Nash | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Physical Therapy Associates Inc, Charlestown, NH 03603 | 2006-08-08 |
| 1215954946 | Weeks and Gowen Physical Therapy Associates Inc | Physical Therapist | 23 Caryl Lane, Charlestown, NH 03603 | 2006-07-17 |
| 1548234040 | Daniel Caloras | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-14 |
| 1407828247 | Springfield Hospital | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-06 |
| 1720129695 | Terrell G Klema | Chiropractor | 296 Main St., Charlestown, NH 03603-0077 | 2007-02-12 |
| 1922149897 | Brendan A. Klema | Chiropractor | 296 Main St, Charlestown, NH 03603-0077 | 2007-02-12 |
| Find all providers in zip 03603 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750603 | Lindsay Loerch | Clinical Nurse Specialist | 32 Washington St Fl 1, Concord, NH 03301-4342 | 2018-12-04 |
| 1649634338 | Oa Health | Clinical Nurse Specialist | 3 Hovey Rd, Londonderry, NH 03053-2939 | 2016-04-08 |
| City | CHARLESTOWN |
| Zip Code | 03603 |
Please comment or provide details below to improve the information on KEADY FAMILY PRACTICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.