Concord Gastroenterology PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CONCORD GASTROENTEROLOGY PA

Practice address

60 Commercial St
Suite 404
Concord, NH 03301-5071

Phone

(603) 228-1763

Fax

(603) 228-7088

NPI assigned

Jun 21, 2006

Organization subpart

No

Name

Ms. Marjorie A Stevens

Title

Practice Manager

Phone

(603) 228-1763

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174569644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 404",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-228-1763",
            "fax_number": "603-228-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 404",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-228-1763",
            "fax_number": "603-228-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-228-1763",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41110232",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord Eye Care PC
• Concord Eye Surgery LLC
• Concord Eye Surgery LLC
• Concord Family Vision, PLLC
• Concord Feminist Health Center Dba Equality Health Center
• Concord Gastroenterology PA
• Concord Hospital
• Concord Hospital, Inc.
• Concord Hospital, Inc.
• Concord Hospital, Inc.

• All providers in Concord, NH
• Gastroenterology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.