MR. PETER J KAZANOVICZ (NPI# 1154429736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154429736 |
| Entity Type | Individual |
| Full Name | MR. PETER J KAZANOVICZ |
| Credential | B.C.O. |
| Practice Address |
169 S River Rd Suite 14a Bedford NH 03110-6971 |
| Practice Telephone | 6036225200 |
| Practice Fax Number | 6036442354 |
| Mailing Telephone | 6036225200 |
| Mailing Fax Number | 6036442354 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 96-270-08 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 7501595 | 05 |
| Street Address |
169 S RIVER RD SUITE 14A |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275068934 | Lindsey Kazanovicz Boyle | Technician/Technologist | 169 S River Rd, 14a, Bedford, NH 03110-6971 | 2017-05-01 |
| 1679967004 | New England Pediatric Services, LLC | Psychologist | 169 S River Rd, Unit 9, Bedford, NH 03110-6971 | 2015-03-24 |
| 1336556554 | Wellspring Dental of Bedford, LLC | Dentist | 169 S River Rd, Ste 6, Bedford, NH 03110-6971 | 2014-07-21 |
| 1114368388 | Erica Miller | Speech-Language Pathologist | 169 S River Rd, Unit 9, Bedford, NH 03110-6971 | 2013-07-16 |
| 1649518325 | Madeline Leone | Speech-Language Pathologist | 169 S River Rd, Bedford, NH 03110-6971 | 2013-01-30 |
| 1487886503 | Bedford Center for Prosthodontics | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2009-08-24 |
| 1447421748 | Deborah Munoz | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2008-03-14 |
| 1245413038 | Peter J Kazanovicz | Prosthetic/Orthotic Supplier | 169 S River Rd, Unit 14a, Bedford, NH 03110-6971 | 2007-12-14 |
| 1265639439 | Timothy L. Mckinney Dds P.C. | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2007-06-29 |
| 1669684148 | Erica Lunn | Occupational Therapist | 169 S River Rd, Unit 9, Bedford, NH 03110-6971 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487868220 | Kennedys Mastectomy Products Wigs & Turbans LLC | Orthotic Fitter | 19 Weeks Lane, Dover, NH 03820-2500 | 2007-05-10 |
| 1659475820 | Andree Godmaire | Orthotic Fitter | 115 Etna Road Building 1, Suite 1, Lebanon, NH 03766 | 2006-09-11 |
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| 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.