GRANITE STATE ORTHOTICS AND PROSTHETICS, LLC


Address: 280 Pleasant St Ste 3, Concord, NH 03301-2553
Phone: 6032287159

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

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

Office Location

Street Address 280 PLEASANT ST STE 3
City CONCORD
State NH
Zip Code 03301-2553

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CONCORD
Zip Code 03301

Improve Information

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Dataset Information

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.

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