GRANITE STATE EMERGENCY PHYSICIANS PC (NPI# 1619038023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619038023 |
| Entity Type | Organization |
| Organization Name | GRANITE STATE EMERGENCY PHYSICIANS PC |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3730 |
| Practice Telephone | 6036636472 |
| Practice Fax Number | 6036636645 |
| Mailing Telephone | 6036636472 |
| Mailing Fax Number | 6036636645 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-05-04 |
| Authorized Official Name | DR. KATHLEEN ZAFFINO (PRESIDENT MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6036636472 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BMC HEALTHNET PLAN | 38691 | 01 | |
| NH | ANTHEM | 50Y004300NH01 | 01 |
| RAILROAD MEDICARE | DF6851 | 01 | |
| NH | 30214885 | 05 | |
| TUFTS | 625983 | 01 | |
| OWCP | 612301300 | 01 | |
| AETNA | 7838900 | 01 | |
| MA | 9755331 | 05 |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1831250943 | Patrick W Lee | Emergency Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-12-12 |
| 1235145459 | James M Reed | Emergency Medicine | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-07-31 |
| 1437164878 | Coffee County Physician Group PC | Emergency Medicine | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-07-31 |
| 1356356281 | Isaac H Stovall | Emergency Medicine | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-07-29 |
| 1326073669 | Delaware County Memorial Hospital | Emergency Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710618 | Monadnock Community Hospital | Emergency Medicine | 452 Old Street Road, Peterborough, NH 03458-1263 | 2006-05-24 |
| 1811969249 | Juwen Lin | Emergency Medicine | 3 Stone Post Rd, Salem, NH 03079-2245 | 2006-02-01 |
| 1588051668 | Lauren Hyde | Emergency Medicine | 250 Pleasant St, Concord, NH 03301 | 2015-04-16 |
| 1669866141 | Matthew Causland Ruppel | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2015-03-24 |
| 1396030391 | Elizabeth J Hoffman | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2011-06-17 |
| 1982920427 | Stephen G Kraunz | Emergency Medicine | 4 Fairfield Dr, Dover, NH 03820 | 2010-04-08 |
| 1003074832 | Ashley Ann Fox | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2008-05-29 |
| 1124226873 | Eric J Hoffman | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2007-07-04 |
| 1730232232 | Emergency Physicians of Derry Pllc | Emergency Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2007-01-19 |
| 1578627295 | Eric Michael Lasky | Emergency Medicine | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
Please comment or provide details below to improve the information on GRANITE STATE EMERGENCY PHYSICIANS PC.
| 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.