BRIAN R FRADETTE (NPI# 1679594592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679594592 |
| Entity Type | Individual |
| Full Name | BRIAN R FRADETTE |
| Credential | D.P.M. |
| Practice Address |
6 Tsienneto Rd Suite 303 Derry NH 03038-1584 |
| Practice Telephone | 6034322508 |
| Practice Fax Number | 6034322008 |
| Mailing Telephone | 6034322508 |
| Mailing Fax Number | 6034322008 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NH0149 | NH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80488249 | 05 |
| Street Address |
6 TSIENNETO RD SUITE 303 |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282375 | Jeffrey D Rind | Pediatrics | 6 Tsienneto Rd, Suite 302, Derry, NH 03038-1584 | 2005-08-12 |
| 1295336436 | Marcus Armando Vesprini | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2020-11-04 |
| 1154976447 | Patrick James Carolan | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-08-05 |
| 1063066298 | Sarah Matson | Nurse Practitioner | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-07-25 |
| 1831613736 | Morgan Rose Segale | Physical Therapist | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2017-08-01 |
| 1518363415 | Adam J Lurgio | Physician Assistant | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 2014-11-05 |
| 1700214251 | Michelle Joan Cleary | Nurse Practitioner | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2013-10-18 |
| 1033542717 | Robin Elizabeth Laberge | Physician Assistant | 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 | 2013-08-16 |
| 1548514714 | Haley Mcmahon | Physician Assistant | 6 Tsienneto Rd, Suite 300, Derry, NH 03038-1584 | 2012-11-09 |
| 1245507953 | Jessica E Judkins | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038 | 2011-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824631 | Foot & Ankle Associates of Southern Nh, Pllc | Podiatrist | 6 Tsienneto Rd Ste 303, Derry, NH 03038-1584 | 2019-04-07 |
| 1841258084 | Victor Joseph Quijano Jr. | Podiatrist | 6 Tsienneto Rd, Suite 303, Derry, NH 03038-1584 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316445927 | Granite State Podiatry Associates Pa | Podiatrist | 160 S River Rd # 2300, Bedford, NH 03110-6927 | 2018-01-29 |
| 1831506526 | New Hampshire Foot and Ankle Pllc | Podiatrist | 25 Buttrick Rd Ste D1, Londonderry, NH 03053-3353 | 2014-07-15 |
| 1376987537 | Kristin Tiffany Visco | Podiatrist | 424 Hanover St, Manchester, NH 03104-5101 | 2013-04-18 |
| 1033216122 | Peter Kasyjanski | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-20 |
| 1467436857 | Wayne C Gould | Podiatrist | 750 Central Ave Ste J, Dover Foot Specialty Ctr, PC, Dover, NH 03820-3434 | 2005-11-30 |
| 1285618678 | Marc R Bessette | Podiatrist | 750 Central Avenue, Suite J, Dover Foot Specialty Ctr, Dover, NH 03820 | 2005-11-30 |
| 1518430156 | New Hampshire Foot and Ankle Specialists Pllc | Podiatrist | 25 Buttrick Rd, Londonderry, NH 03053-3352 | 2019-01-07 |
| 1669948501 | Reid Christie Dpm Pllc | Podiatrist | 41 Buttrick Rd Ste 5, Londonderry, NH 03053-3367 | 2018-10-18 |
| 1538614623 | Portsmouth Foot and Ankle, Nashua, Pllc | Podiatrist | 14 Manchester Sq, Suite 250, Portsmouth, NH 03801-8001 | 2016-08-18 |
| 1801278783 | Michael Kelly | Podiatrist | 166 Kinsley St Ste 201, Nashua, NH 03060 | 2015-06-26 |
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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.