GRANITE STATE GASTROINTESTINAL CONSULTANTS,PLLC


Address: 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584
Phone: 6034328802

GRANITE STATE GASTROINTESTINAL CONSULTANTS,PLLC (NPI# 1942214457) 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) 1942214457
Entity Type Organization
Organization Name GRANITE STATE GASTROINTESTINAL CONSULTANTS,PLLC
Practice Address 6 Tsienneto Rd
Suite 301
Derry
NH 03038-1584
Practice Telephone 6034328802
Practice Fax Number 6034327430
Mailing Telephone 6034328802
Mailing Fax Number 6034327430
Enumeration Date 2006-07-28
Last Update Date 2014-01-15
Authorized Official Name KNUT ROALSVIG (PHYSICIAN PRESIDENT)
Authorized Official Telephone 6034328802
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH 30002464 05

Office Location

Street Address 6 TSIENNETO RD
SUITE 301
City DERRY
State NH
Zip Code 03038-1584

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457495806 Leon P. Mclean Internal Medicine 6 Tsienneto Rd Ste 301, Derry, NH 03038-1584 2007-02-19
1871660837 Prakash K Vin Md PC Internal Medicine 118 W Fourth Ave, Derry, PA 15627 2006-11-28
1134106990 Steven Taylor Internal Medicine 6 Tsienneto Road, Suite 301, Derry, NH 03038-1584 2005-12-22
1851782312 Londonderry Gastroenterology Associates Pa Internal Medicine 44 Birch St, Suite 206, Derry, NH 03038-2752 2015-02-05
1154381614 Knut Roalsvig Internal Medicine 6 Tsienneto Rd, Suite 301, Derry, NH 03038-1584 2006-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023189891 Chengta Richard Dai Internal Medicine 168 Kinsley Street, Suite 20, Nashua, NH 03060 2006-11-13
1437229184 Yuki Igari Internal Medicine 20 Chambers Dr, Elliot Gastroenterology, Hooksett, NH 03106-1981 2006-11-09
1922199348 Northeast Gastroenterology Associates, PC Internal Medicine 52 Stiles Rd, Suite 110, Salem, NH 03079-4879 2006-09-28
1851482277 Maurice B Cohen Internal Medicine Northeast Gastroenterology Assoc., PC, 52 Stiles Road Suite 110, Salem, NH 03079 2006-09-28
1477506186 Scott R Oosterveen Internal Medicine 60 Commercial St Ste 404, Concord Hospital Medical Office At Horseshoe Pond, Concord, NH 03301-5096 2006-05-17
1235105701 Francis Paul Colizzo Internal Medicine 4 West Rd, Suite 3 B, Stratham, NH 03885-2602 2006-02-24
1841261278 Peter L Forssell Internal Medicine 454 Old Street Road, Suite 202, Peterborough, NH 03458-1200 2006-02-01
1104825587 Mark J Silversmith Internal Medicine 11 Washington Pl, Bedford, NH 03110-6747 2005-07-19
1992700702 Stephen M. Wiener Internal Medicine 185 Queen City Ave, Manchester, NH 03101-7121 2005-06-17
1639174451 Thomas M Sherman Internal Medicine 3 Alumni Dr Ste 201, Exeter, NH 03833-2122 2005-06-17
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Competitor

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City DERRY
Zip Code 03038

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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