GRANITE STATE ORTHOTICS AND PROSTHETICS, LLC (NPI# 1750565479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750565479 |
Entity Type | Organization |
Organization Name | GRANITE STATE ORTHOTICS AND PROSTHETICS, LLC |
Practice Address |
280 Pleasant St Ste 3 Concord NH 03301-2553 |
Practice Telephone | 6032287159 |
Practice Fax Number | 6032254265 |
Mailing Telephone | 6032287159 |
Mailing Fax Number | 6032254265 |
Enumeration Date | 2007-12-18 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. GERARD JOSEPH FOWLER II (OWNER/PRACTITIONER) |
Authorized Official Telephone | 6032287159 |
Authorized Official Credential | CO, CPED. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | CIGNA | 2264576 | 01 |
NH | 30761501 | 05 | |
NH | HARVARD PILGRIM | 706167 | 01 |
NH | ANTHEM | 12Y002242NH01 | 01 |
NH | AETNA | 4665514 | 01 |
Street Address |
280 PLEASANT ST STE 3 |
City | CONCORD |
State | NH |
Zip Code | 03301-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
Find all providers in zip 03301 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] 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 |
---|---|---|---|---|
1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
1477042489 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 801 Main St Ste 8, Concord, MA 01742-3319 | 2018-05-04 |
1518193010 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 470 Lake Concord Rd Ne, Concord, NC 28025-2965 | 2009-06-10 |
1346426954 | Laurence of Oakland | Prosthetic/Orthotic Supplier | 2190 Meridian Park Blvd Ste E, Concord, CA 94520-5715 | 2008-01-14 |
1154406171 | Economy Medical Inc | Prosthetic/Orthotic Supplier | 4025 Nelson Avenue, Economy Medical Inc, Concord, CA 94520 | 2006-10-26 |
1750386009 | New England Brace Co., Inc. | Prosthetic/Orthotic Supplier | 171 Pleasant St, Suite 102, Concord, NH 03301-2547 | 2005-06-14 |
1043819162 | Kandy Mae Dennison | Prosthetic/Orthotic Supplier | 83 S Main St, Concord, NH 03301-4816 | 2020-10-20 |
1841562287 | Capital Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 246 Pleasant St, Suite 200, Concord, NH 03301-2548 | 2012-02-01 |
1437338522 | Concord Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 801 Main St, Suite 8, Concord, MA 01742-3313 | 2007-10-25 |
1881716264 | Stella E Hogan | Prosthetic/Orthotic Supplier | 83 S Main St, Concord, NH 03301-4816 | 2007-04-04 |
Find all providers in CONCORD |
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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.