Capital Orthopedic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3780 Issued in NH

Legal business name

CAPITAL ORTHOPEDIC SURGERY CENTER, LLC

Doing business as

Orthopedic Surgery Center Derry

Practice address

14 Tsienneto Rd
Derry, NH 03038-1505

Phone

(603) 425-6966

Fax

(603) 425-6967

NPI assigned

Mar 15, 2012

Last updated

Sep 2, 2016By 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

Mrs. Donna Quinn

Title

Director

Phone

(603) 228-7211

Specialties & licenses 1

Addresses

Other names 1

• ORTHOPEDIC SURGERY CENTER DERRY Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Capital Orthopedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Concord, NH
  • NPI 1568421840

  1355475419

  Same PAC ID

Listed as

Capital Orthopedic Surgery Center LLCCCN 30C0001032

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Capital Orthopaedic Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capital Orthopedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Concord, NH
  • NPI 1568421840
  NPD tax ID

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1619242278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381505",
            "telephone_number": "603-425-6966",
            "fax_number": "603-425-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381505",
            "telephone_number": "603-425-6966",
            "fax_number": "603-425-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ORTHOPEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-228-7211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC SURGERY CENTER DERRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen F. Caldwell, D.D.S., M.S.
• Thomas Call
• Gwendolyn Callahan
• Kimberly Anne Campbell, MSW, LICSW
• Canvas Psychotherapy PLLC
• Jessica Rose Card, RDH
• Dianne Irene Cardinal, MA
• Caring Companions Home Care of New England LLC
• Patrick James Carolan
• Jessie L Cassada, AU.D., F-AAA

• Ambulatory Surgical Clinic/Center in Derry, NH
• Providers in Derry, NH by specialty
• Ambulatory Surgical Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.