NPIMap

Organization Active NPI

Granite State Podiatry Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Bedford, NH
National Provider Identifier
1316445927
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GRANITE STATE PODIATRY ASSOCIATES PA
Practice address
160 S River Rd # 2300
Bedford, NH 03110-6927
Phone
(603) 668-3509
Fax
(603) 641-8442
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Ellen Yuse
Title
Office Manager
Phone
(603) 668-3509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

160 S River Rd # 2300
Bedford, NH 03110-6927

Mailing address

424 Hanover St
Manchester, NH 03104-5101
Phone (603) 668-3509

National Provider Directory

National Provider Directory

Locations

160 S River Rd
#2300
Bedford, NH 03110
Phone (603) 668-3509

160 S River Rd
Ste 2300
Bedford, NH 03110
Phone (603) 432-8802

225 Bridge St
Manchester, NH 03104
Phone (603) 666-4299

424 Hanover St
Manchester, NH 03104
Phone (603) 668-3509

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1316445927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045101",
            "telephone_number": "603-668-3509",
            "fax_number": "603-641-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S RIVER RD # 2300",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106927",
            "telephone_number": "603-668-3509",
            "fax_number": "603-641-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE PODIATRY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "YUSE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-668-3509"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.