STEVEN ROY GRANDGEORGE (NPI# 1841236130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841236130 |
| Entity Type | Individual |
| Full Name | STEVEN ROY GRANDGEORGE |
| Credential | MD |
| Practice Address |
100 Hitchcock Way Manchester NH 03104-4125 |
| Practice Telephone | 6036952500 |
| Practice Fax Number | 6036952562 |
| Mailing Telephone | 6036952500 |
| Mailing Fax Number | 6036952562 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
6661 | NH | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
6661 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30001628 | 05 |
| Street Address |
100 HITCHCOCK WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268368 | Anthony H Repucci | Pediatrics | 100 Hitchcock Way, Dartmouth Hitchcock - Pediatric Gastroenterology, Manchester, NH 03104-4125 | 2005-10-06 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1609407063 | Ashley Marie Hardy | Dietitian, Registered | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-02-03 |
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1003477613 | Stephanie M Winn | Nurse Practitioner | 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 | 2019-06-25 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1134681711 | Tonya M Binder | Nurse Practitioner | 100 Hitchcock Way, Dartmouth Hitchcock - Gastroenterology, Manchester, NH 03104-4125 | 2019-04-03 |
| 1740745926 | Laura J Vanbrocklin | Nurse Practitioner | 100 Hitchcock Way, Cardiology, Manchester, NH 03104 | 2019-02-01 |
| 1538633599 | Debra A Hansen | Social Worker | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-01-14 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| Find all providers in the same location | ||||
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1417147349 | Amit Kumar | Allergy & Immunology | 19 Tyler St Ste 305, Nashua, NH 03060-2951 | 2007-07-26 |
| 1902861032 | Nicola M Vogel | Allergy & Immunology | 9 Buzell Ave Ste 3, Exeter, NH 03833-2522 | 2006-04-20 |
| 1457358566 | Robert Hickey | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1841479532 | Allergy Associates of Nh Pa | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2007-10-30 |
| 1679686836 | Marcus Sidney Shaker | Allergy & Immunology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-15 |
| 1497778120 | Jon Michael Brian Vore Sr. | Allergy & Immunology | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-07-25 |
| 1336160423 | Mary Kay Hillinger | Allergy & Immunology | 1 Medical Center Dr, Dhmc Allergy, Lebanon, NH 03756-1000 | 2006-07-22 |
| 1982601084 | Kevin Jon Roelofs | Allergy & Immunology | 100 Griffin Rd, Unit A, Portsmouth, NH 03801-7158 | 2005-07-05 |
| 1780681809 | Joseph Frazer IIi | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.