Organization Active NPI

Cardiosonics Inc

  • Sonography Specialist/Technologist Cardiovascular
  • Manchester, NH
National Provider Identifier
1710025424
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
20331 Issued in NH
Legal business name
CARDIOSONICS INC
Practice address
258 Sagamore St
Manchester, NH 03104-3305
Phone
(603) 533-9771
Fax
(603) 668-4052
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Timothy Stephen Gahara, C.V.T, R.D.C.S.
Title
President and Ceo
Phone
(603) 533-9771

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X CVT-NATIONAL NH
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X CVT-NATIONAL MA
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X CVT-NATIONAL NH
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X 20331 NH Primary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X NH

Addresses

Primary practice location

258 Sagamore St
Manchester, NH 03104-3305

Mailing address

497 Hooksett Rd # 2 Suite 393
Manchester, NH 03104-2632
Phone (603) 533-9771

Other identifiers 4

IdentifierTypeStateIssuer
617130OtherNHCIGNA HEALTHCARE
327030OtherNHMARTIN'S POINT HEALTHCARE
626186OtherNHHARVARD PILGRIM HEALTH
30810896MedicaidNH

Other names 1

  • HeartScan CardioSonics Doing business as

National Provider Directory

National Provider Directory

Locations

497 Hooksett Rd
Ste 393
Manchester, NH 03104

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1710025424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 HOOKSETT RD # 2 SUITE 393",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042632",
            "telephone_number": "603-533-9771",
            "fax_number": "603-668-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SAGAMORE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043305",
            "telephone_number": "603-533-9771",
            "fax_number": "603-668-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSONICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "GAHARA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "603-533-9771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.V.T, R.D.C.S."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": "NH",
            "license": "CVT-NATIONAL",
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "MA",
            "license": "CVT-NATIONAL",
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NH",
            "license": "CVT-NATIONAL",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NH",
            "license": "20331",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "NH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "617130",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTIN'S POINT HEALTHCARE",
            "identifier": "327030",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "626186",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30810896",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartScan CardioSonics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 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.