Active NPI
Cardiosonics Inc
- Sonography Specialist/Technologist Cardiovascular
- Manchester, NH
National Provider Identifier
1710025424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 20331
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | CVT-NATIONAL | NH | |
| Cardiovascular Specialist/Technologist | 246X00000X | CVT-NATIONAL | MA | |
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | CVT-NATIONAL | NH | |
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 20331 | NH | Primary |
| Other Specialist/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617130 | Other | NH | CIGNA HEALTHCARE |
| 327030 | Other | NH | MARTIN'S POINT HEALTHCARE |
| 626186 | Other | NH | HARVARD PILGRIM HEALTH |
| 30810896 | Medicaid | NH |
Other names 1
- HeartScan CardioSonics
National Provider Directory
National Provider DirectoryLocations
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.