Keene Medical Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02866 Issued in NH

Legal business name

KEENE MEDICAL PRODUCTS, LLC

Practice address

5 Landing Rd
Enfield, NH 03748-3545

Phone

(603) 448-5225

Fax

(603) 442-6000

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Wendy Russalesi

Title

Chief Compliance Officer/ Ao

Phone

(484) 246-9499

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Keene Medical Products, INC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan T Weaver, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1649324914
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1700877206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LANDING RD",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483545",
            "telephone_number": "603-448-5225",
            "fax_number": "603-442-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENE MEDICAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER/ AO",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NH",
            "license": "02866",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007038",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004915",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00489818",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13936000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80547038",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keene Medical Products, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Keene Medical Products, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark Giovagnoli, PTA
• Kelly C Hilderbrand
• Matthew Holcomb, PH.D.
• Inner Voyage Mental Health PLLC
• Keene Medical Products LLC
• Robin Kloos, MS/CCC-SLP
• Geralyn Koblis, MA. CCC
• Angela Katherine Lacey, DPT
• Diane Marie Legendre, RN
• Lincare Inc

• Durable Medical Equipment & Medical Supplies in Enfield, NH
• Providers in Enfield, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.