Organization Active NPI

NH Endovascular Professional Associates LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Manchester, NH
National Provider Identifier
1295060051
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
NH ENDOVASCULAR PROFESSIONAL ASSOCIATES LLC
Practice address
100 McGregor St
Suite B600A
Manchester, NH 03102-3730
Phone
(603) 663-6340
NPI assigned
Oct 13, 2009
Organization subpart
Yes
Parent organization
CARDIOTHORACIC SURGICAL ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Yvon Baribeau
Title
President
Phone
(603) 663-6340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

100 McGregor St
Suite B600A
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Suite B600A
Manchester, NH 03102-3730

Other identifiers 1

IdentifierTypeStateIssuer
RE242601OtherNHMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory
Part of
Cardiothoracic Surgical Associates PA

Locations

1130 Ten Rod Rd
Ste D201
North Kingstown, RI 02852
Phone (401) 295-3132

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1295060051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "SUITE B600A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "SUITE B600A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH ENDOVASCULAR PROFESSIONAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOTHORACIC SURGICAL ASSOCIATES, PA",
        "enumeration_date": "2009-10-13",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BARIBEAU",
        "authorized_official_first_name": "YVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-663-6340"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "RE242601",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.