New Hampshire Neurospine Institute, PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA

Practice address

4 Hawthorne Dr
Bedford, NH 03110-6912

Phone

(603) 472-8888

Fax

(603) 472-9090

NPI assigned

Aug 17, 2006

Last updated

Apr 24, 2024By 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

Tiffany Waddington

Title

Executive Director

Phone

(603) 472-8888

Specialties & licenses 12

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zubin S Batlivala, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bedford, NH
  • NPI 1710971957
  Medicare reassignment NPD
• Angela Marie Burnett, APRN

  • Family Nurse Practitioner
  • Hudson, NH
  • NPI 1154809184
  Medicare reassignment NPD
• Alex M Dressler, M.D.

  • Anesthesiology Physician
  • Bedford, NH
  • NPI 1952729055

  Single Specialty

  Medicare reassignment NPD
• Amy Fernald, APRN

  • Family Nurse Practitioner
  • Bedford, NH
  • NPI 1538550843
  Medicare reassignment NPD
• Thomas Mark Frates Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Bedford, NH
  • NPI 1346226578
  Medicare reassignment NPD
• Alexander James Gamble, DO

  • Neurological Surgery Physician
  • Bedford, NH
  • NPI 1518266410
  Medicare reassignment NPD
• Joseph T Hyatt, MD

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1295799799
  Medicare reassignment NPD
• Aron Jeffrey, DO

  • Physical Medicine & Rehabilitation Physician
  • Bedford, NH
  • NPI 1417136755
  Medicare reassignment NPD
• Nigel Ross Jenkins, MD

  • Neurological Surgery Physician
  • Bedford, NH
  • NPI 1477539161
  Medicare reassignment NPD
• Kota Sadashiva Karanth, M.D.

  • Neurological Surgery Physician
  • Bedford, NH
  • NPI 1558578344
  Medicare reassignment NPD
• Brian D Klagges, MD

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1942278403
  Medicare reassignment NPD
• Neal Luther, M.D.

  • Neurological Surgery Physician
  • Bedford, NH
  • NPI 1366694895
  Medicare reassignment NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1073627329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106912",
            "telephone_number": "603-472-8888",
            "fax_number": "603-472-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106912",
            "telephone_number": "603-472-8888",
            "fax_number": "603-472-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-04-24",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "WADDINGTON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-472-8888"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073795",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007561",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Bedford, NH
• Providers in Bedford, NH by specialty
• Orthopaedic Surgery of the Spine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.