Garrison Medical Professional Association

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GARRISON MEDICAL PROFESSIONAL ASSOCIATION

Doing business as

Garrison Women's Health Center

Practice address

770 Central Ave
Dover, NH 03820-3437

Phone

(603) 742-0101

Fax

(603) 743-3171

NPI assigned

Oct 18, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela S Bertram, MD

Title

Medical Director

Phone

(603) 742-0101

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Garrison Women's Health Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1033290994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203437",
            "telephone_number": "603-742-0101",
            "fax_number": "603-743-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203437",
            "telephone_number": "603-742-0101",
            "fax_number": "603-743-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON MEDICAL PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "603-742-0101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81163629",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138620000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200010998",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrison Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kariahna Gamblin, OTR/L
• Nadarajah Ganeshkumar, DMD
• Jennifer D Ganly, LD
• Garrison City Speech & Language Services, PLLC (Garrison City Therapy Services)
• Garrison Dental Group, PLLC (Garrison Family Dental)
• Gateway Urology PA
• Gayle Joyce, LCSW
• Emma Gelinas, LICSW
• Stephen M Gemmett, MD
• Genesis Rehab Services

• Obstetrics & Gynecology Physician in Dover, NH
• Providers in Dover, NH by specialty
• Obstetrics & Gynecology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.