Van Loan Medical LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

VAN LOAN MEDICAL LLC

Practice address

316 S Main St
Concord, NH 03301-3468

Phone

(603) 738-4468

Fax

(603) 488-1781

NPI assigned

May 14, 2024

Last updated

May 14, 2024By 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

Anneke L McStowe

Title

Owner

Phone

(603) 738-4468

Specialties & licenses 1

Addresses

Other names 1

• P. Nicholas Van Loan, MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

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.

• Jonathan Allan Gott, PA-C

  • Physician Assistant
  • Hampstead, NH
  • NPI 1679845630
  Medicare reassignment

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1417706482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BLANFORD PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104611",
            "telephone_number": "603-738-4468",
            "fax_number": "603-488-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013468",
            "telephone_number": "603-738-4468",
            "fax_number": "603-488-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN LOAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "MCSTOWE",
        "authorized_official_first_name": "ANNEKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-738-4468"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P. Nicholas Van Loan, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary N Valvano, MD
• Danielle J Van Dusen, LCMHC, LADCI
• Sarah Van Ham, OTR/L
• Ryan M. Van Hoff, M.D.
• Sophia L Van Hoff, MD
• Lisa M. Van Oss, CRNA
• Stephanie Vanhorn, COTA
• Ruby Vanloan
• Nancy Joan Vanvranken, MD
• Lisa Varano

• Addiction Medicine (Preventive Medicine) Physician in Concord, NH
• Providers in Concord, NH by specialty
• Addiction Medicine (Preventive Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.