NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA (NPI# 1073627329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073627329 |
| Entity Type | Organization |
| Organization Name | NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110-6912 |
| Practice Telephone | 6034728888 |
| Practice Fax Number | 6034729090 |
| Mailing Telephone | 6034728888 |
| Mailing Fax Number | 6034729090 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | MS. ANNE CHRISTINE TALBOT-KLEEMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034728888 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3073795 | 05 | |
| RAILROAD MEDICARE | CJ8612 | 01 | |
| NH | 30007561 | 05 |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1871154179 | Brenna R. Erzen | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2019-06-26 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1306200423 | Timothy Miller | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2016-04-06 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1366558272 | Granite State Neurosurgery Pllc | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-22 |
| 1053303313 | Uri Michael Ahn | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669450 | Peer Technologies Pllc | Orthopaedic Surgery | 378 Stoney Brook Road, Springfield, NH 03284 | 2017-03-06 |
| 1689762841 | Gary D Fleischer | Orthopaedic Surgery | 19 Tyler St, Suite 104, Nashua, NH 03060-2951 | 2006-10-11 |
| 1053345512 | Clifford M Levy | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
| 1992735070 | Russell S Brummett | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-04 |
| 1376570754 | James N Weinstein | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-28 |
| 1134162324 | William Abdu | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-14 |
| 1346297801 | Dinakar S Murthi | Orthopaedic Surgery | 17 Riverside St, Suite 101, Nashua, NH 03062-1304 | 2006-05-30 |
| 1679529887 | Kevin J Mcguire | Orthopaedic Surgery | 1 Medical Center Dr, Dept of Orthopaedics, Lebanon, NH 03756-1000 | 2006-05-26 |
Please comment or provide details below to improve the information on NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA.
| 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.