DR. PETER KASYJANSKI (NPI# 1033216122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033216122 |
| Entity Type | Individual |
| Full Name | DR. PETER KASYJANSKI |
| Credential | DPM |
| Practice Address |
424 Hanover Street Manchester NH 03104 |
| Practice Telephone | 6036683509 |
| Practice Fax Number | 6036418442 |
| Mailing Telephone | 6036683509 |
| Mailing Fax Number | 6036418442 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0299 | NH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD PILGRIM | 333797 | 01 | |
| TUFTS | 029900 | 01 | |
| NH | ANTHEM BCBS NH | 03YO03817NH03 | 01 |
| Street Address |
424 HANOVER STREET |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639360381 | Luke C Jeffries | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2007-08-07 |
| 1629272695 | Granite State Podiatry Associates Pa | Durable Medical Equipment & Medical Supplies | 424 Hanover Street, Manchester, NH 03104 | 2007-06-13 |
| 1720170368 | Steven R Rudman | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376987537 | Kristin Tiffany Visco | Podiatrist | 424 Hanover St, Manchester, NH 03104-5101 | 2013-04-18 |
| 1144453895 | Podiatry Center of Eastern Ct, LLC | Podiatrist | 360 Tolland Tpke Ste 2c, Manchester, CT 06042-1770 | 2009-08-28 |
| 1922009216 | Mark B Superstein | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2005-08-09 |
| 1316232382 | Eric B Bouldin | Podiatrist | 108 N Spring St, Manchester, Manchester, TN 37355-1563 | 2011-06-17 |
| 1649403080 | Cristi Lee Bouldin | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2009-09-02 |
| 1437306198 | Middle Tennessee Foot Associates P C | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2008-08-25 |
| 1952589434 | Connecticut Surgical Group, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2008-02-06 |
| 1639360381 | Luke C Jeffries | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2007-08-07 |
| 1013075993 | Barry Alan Frank | Podiatrist | 384 Wilson St, Manchester, NH 03103-4912 | 2006-12-05 |
| 1720170368 | Steven R Rudman | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on DR. PETER KASYJANSKI.
| 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.