Active NPI
Associates in Surgery & Gastroenterology, LLC
- Gastroenterology Physician
- Claremont, NH
National Provider Identifier
1356308019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ASSOCIATES IN SURGERY & GASTROENTEROLOGY, LLC
- Practice address
- 7 Dunning St
Claremont, NH 03743-2016 - Phone
- (603) 543-3501
- Fax
- (603) 542-6486
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jyl Bradley, MS, FACMPE
- Title
- Administrator
- Phone
- (603) 543-3501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
7 Dunning St
Claremont, NH 03743-2016
Mailing address
7 Dunning St
Claremont, NH 03743-2016
Phone (603) 543-3501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000328 | Medicaid | NH | |
| ASSO00003879 | Other | VT | VERMONT BLUE SHIELD |
| 50Y387900NH01 | Other | NH | ANTHEM BLUE SHIELD |
| 0003879 | Medicaid | VT | |
| CB1449 | Other | NH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1356308019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DUNNING ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432016",
"telephone_number": "603-543-3501",
"fax_number": "603-542-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DUNNING ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432016",
"telephone_number": "603-543-3501",
"fax_number": "603-542-6486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN SURGERY & GASTROENTEROLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "JYL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "603-543-3501",
"authorized_official_credential": "MS, FACMPE"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000328",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT BLUE SHIELD",
"identifier": "ASSO00003879",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "50Y387900NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003879",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB1449",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.