Harbor Interventional Pain Center, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

HARBOR INTERVENTIONAL PAIN CENTER, LLC

Practice address

291 Shattuck Way Ste 2
Newington, NH 03801-7869

Phone

(603) 294-9190

Fax

(603) 380-7967

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Timothy L Lacy, MDNPI 1275683393

Title

Owner/Principle

Phone

(603) 294-9190

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy L Lacy, M.D.

  • Anesthesiology Physician
  • Newington, NH
  • NPI 1275683393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1043926686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SHATTUCK WAY STE 2",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017869",
            "telephone_number": "603-294-9190",
            "fax_number": "603-380-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SHATTUCK WAY STE 2",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017869",
            "telephone_number": "603-294-9190",
            "fax_number": "603-380-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR INTERVENTIONAL PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRINCIPLE",
        "authorized_official_telephone_number": "603-294-9190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@harboripc.com",
            "affiliation": "N",
            "endpointDescription": "administrative email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "291 Shattuck Way",
            "address_2": "Suite 2",
            "city": "Newington",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bernadette Katherine Gandolfi
• Emily Geiler
• Carli Genet, MSW
• Jeremy Gilbert, MSN, APRN, FNP-C
• Alex Gold, M.D.
• Arianna Harris
• Mark R Henschke, DO
• Jean Hibschweiler
• Laura Hounam, BCBA
• Louisa Kathleen Howell

• Pain Medicine (Anesthesiology) Physician in Newington, NH
• Providers in Newington, NH by specialty
• Pain Medicine (Anesthesiology) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.