KEITH LUNDQUIST (NPI# 1407253842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407253842 |
| Entity Type | Individual |
| Full Name | KEITH LUNDQUIST |
| Credential | APRN |
| Practice Address |
1 Elliot Way Ste 200 Manchester NH 03103-3502 |
| Practice Telephone | 6036632315 |
| Practice Fax Number | 6036479180 |
| Mailing Telephone | 6036632315 |
| Mailing Fax Number | 6036479180 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 063034-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ELLIOT WAY STE 200 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723704 | Timothy R. Lyons | Anesthesiology | 1 Elliot Way Ste 200, Manchester, NH 03103-3502 | 2006-07-18 |
| 1578172854 | Justin Ryan Chavis | Registered Nurse | 1 Elliot Way Ste 200, Manchester, NH 03103-3502 | 2020-07-23 |
| 1841779816 | Kimberly Wynhof | Nurse Anesthetist, Certified Registered | 1 Elliot Way Ste 200, Manchester, NH 03103-3502 | 2018-08-10 |
| 1952729055 | Alex M Dressler | Anesthesiology | 1 Elliot Way Ste 200, Manchester, NH 03103 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| City | MANCHESTER |
| Zip Code | 03103 |
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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.