Granite State Neurosurgery PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

GRANITE STATE NEUROSURGERY PLLC

Practice address

4 Hawthorne Dr
Bedford, NH 03110-6912

Phone

(603) 472-8888

Fax

(603) 472-9090

NPI assigned

Aug 22, 2006

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anne Christine Talbot-Kleeman, RN

Title

Executive Director

Phone

(603) 472-8888

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Theodore R Jacobs, MD

  • Neurological Surgery Physician
  • Bedford, NH
  • NPI 1811986763
  NPD (past)
• Joseph Thomas Kearns, PA

  • Surgical Physician Assistant
  • Nashua, NH
  • NPI 1427163351
  NPD (past)
• Brian Edward Snow, PA

  • Surgical Physician Assistant
  • Bedford, NH
  • NPI 1356456263
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1366558272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106912",
            "telephone_number": "603-472-8888",
            "fax_number": "603-472-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106912",
            "telephone_number": "603-472-8888",
            "fax_number": "603-472-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE NEUROSURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "TALBOT-KLEEMAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-472-8888",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30214732",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB3506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Gouveia, CHWC, CHN
• Grace Goyette, APRN
• Isabelle Grace, MSW
• Granite State Behavioral Health
• Granite State Mental Health
• Granite State Podiatry Associates PA
• Mitchell Granoff, DO
• Allison M. Granucci, DPT
• Ward F Gravel, DDS
• Stefanie Reeves Gray, APRN

• Neurological Surgery Physician in Bedford, NH
• Providers in Bedford, NH by specialty
• Neurological Surgery Physician in New Hampshire

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