Individual provider Active NPI

Keith Lundquist, APRN

  • Anesthesiologist Assistant
  • Manchester, NH
National Provider Identifier
1407253842
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
063034-23 Issued in NH
Practice address
1 Elliot Way Ste 200
Manchester, NH 03103-3502
Phone
(603) 663-2315
Fax
(603) 647-9180
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 063034-23 NH Primary

Addresses

Primary practice location

1 Elliot Way Ste 200
Manchester, NH 03103-3502

Mailing address

1 Elliot Way Ste 200
Manchester, NH 03103-3502
Phone (603) 663-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310002277 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870819865 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners CurrentSince Mar 1, 2021 Accepting new patients
Amoskeag Anesthesia, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Concord Eye Surgery LLC CurrentSince Nov 1, 2025 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Feb 5, 2020 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Feb 5, 2020 Accepting new patients
Quality Anesthesia Pain Services, PLLC Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Elliot Way
#200
Manchester, NH 03103

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

273 County Rd
New London, NH 03257
Phone (603) 526-5215

23 Keewaydin Dr
Ste 100
Salem, NH 03079
Phone (603) 386-0272

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1407253842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY STE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-663-2315",
            "fax_number": "603-647-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY STE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-663-2315",
            "fax_number": "603-647-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "KEITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NH",
            "license": "063034-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.