MINIMALLY INVASIVE SURGERY CENTER OF N.E., LLC (NPI# 1205361052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205361052 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE SURGERY CENTER OF N.E., LLC |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110-6983 |
| Practice Telephone | 6032181912 |
| Practice Fax Number | 6032181914 |
| Mailing Telephone | 6034728888 |
| Mailing Fax Number | 6034729090 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MS. BETH DEREGO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6032181912 |
| Authorized Official Credential | MSN, RN, CPAN, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1871154179 | Brenna R. Erzen | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2019-06-26 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1306200423 | Timothy Miller | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2016-04-06 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| 1679812861 | Drue A Lorenz | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-07 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356814958 | Cleveland Childrens Surgery Center LLC | Clinic/Center | 7690 First Pl Ste E, Bedford, OH 44146-6725 | 2019-01-07 |
| 1245768209 | Texas Health Surgery Center Bedford, LLC | Clinic/Center | 1605 Airport Fwy Ste 100, Bedford, TX 76021-5730 | 2017-06-02 |
| 1902875438 | Central Park Endoscopy Center LLC | Clinic/Center | 1600 Central Dr Ste 300, Bedford, TX 76022-6029 | 2006-03-16 |
| 1114920691 | Novamed Surgery Center of Bedford, LLC | Clinic/Center | 105 Riverway Place, Bedford Commons, Building #1, Bedford, NH 03110 | 2005-05-27 |
| 1356798854 | Mid Cities Asc, Lp | Clinic/Center | 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 | 2016-05-16 |
| 1558780130 | Elite Orthopedic and Spine Surgery Center, LLC | Clinic/Center | 1605 Airport Fwy, Bedford, TX 76021-5730 | 2014-04-10 |
| 1912139056 | Allied Center for Special Surgery Dfw LLC | Clinic/Center | 1605 Airport Freeway, Bedford, TX 76021 | 2009-08-21 |
| 1154454460 | Texas Health Harris Methodist Hospital Hurst-euless-bedford | Clinic/Center | 1600 Hospital Pkwy, Bedford, TX 76022-6913 | 2007-03-14 |
| 1043361587 | Center for Assisted Reproduction Laboratory and Surgery Center, Inc. | Clinic/Center | 1701 Park Place Ave, Bedford, TX 76022-6033 | 2007-01-12 |
| 1730277575 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 11 Washington Pl, Bedford, NH 03110-6747 | 2006-10-10 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on MINIMALLY INVASIVE SURGERY CENTER OF N.E., 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.