Granite State Surgical Associates, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GRANITE STATE SURGICAL ASSOCIATES, P.A.

Practice address

85 Spring St
Laconia, NH 03246-3113

Phone

(603) 273-0006

Fax

(603) 273-0010

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Crathern, M.D.

Title

President

Phone

(603) 273-0006

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1346310091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-273-0006",
            "fax_number": "603-273-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-273-0006",
            "fax_number": "603-273-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "CRATHERN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-273-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6961",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "95Y003427NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001659",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Elizabeth Grady, MS OTR/L
• Erica Ashley Grande, BA
• Granite State Chiropractic PLLC
• Granite State Complete Home Care LLC
• Granite State Geriatrics PLLC
• Melissa B Grant, PHARMD
• Anthony Salvatore Grasso, PHARM.D.
• Jessica Graton, LICSW
• Gray Matters Counseling and Wellness, PLLC
• Heather Michelle Gray, MS CCC-SLP

• All providers in Laconia, NH
• Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.