Organization Active NPI

Laconia Cardiology

  • Cardiovascular Disease Physician
  • Gilford, NH
National Provider Identifier
1245205046
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LACONIA CARDIOLOGY
Practice address
369 Hounsell Avenue
Suite #5
Gilford, NH 03249
Phone
(603) 528-8555
Fax
(603) 528-7668
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Mary Claire Paicopolis, MD, FACCNPI 1114018322
Title
Sole Owner- 2009
Phone
(603) 528-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

369 Hounsell Avenue
Suite #5
Gilford, NH 03249

Mailing address

369 Hounsell Avenue
Gilford, NH 03249
Phone (603) 528-8555

Other identifiers 1

IdentifierTypeStateIssuer
30005918MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060301000279 NH Part B Supplier - Clinic/Group Practice 4981610813 Receives reassigned benefits from 1 practitioner
Practice locations: Gilford, NH

National Provider Directory

National Provider Directory

Locations

369 Hounsell Ave
Gilford, NH 03249
Phone (603) 527-8015

369 Hounsell Ave
Ste 5
Gilford, NH 03249
Phone (603) 528-8555

6 Buttrick Rd
Ste 200
Londonderry, NH 03053
Phone (603) 323-0883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1245205046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HOUNSELL AVENUE",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03249",
            "telephone_number": "603-528-8555",
            "fax_number": "603-528-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HOUNSELL AVENUE",
            "address_2": "SUITE #5",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03249",
            "telephone_number": "603-528-8555",
            "fax_number": "603-528-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACONIA CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "PAICOPOLIS",
        "authorized_official_first_name": "MARY CLAIRE",
        "authorized_official_title_or_position": "SOLE OWNER- 2009",
        "authorized_official_telephone_number": "603-528-8555",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005918",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.