Active NPI
Catholic Medical Center Physician Practice Associates
Doing business as Granite State Internal Medicine
- Internal Medicine Physician
- Manchester, NH
National Provider Identifier
1780862912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CATHOLIC MEDICAL CENTER PHYSICIAN PRACTICE ASSOCIATES
- Doing business as
- Granite State Internal Medicine
- Practice address
- 53 Goffstown Rd
Manchester, NH 03102-2737 - Phone
- (603) 669-7162
- Fax
- (603) 206-1378
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- 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
- Andre Therrien
- Title
- Controller
- Phone
- (603) 663-8779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NH | Primary |
Addresses
Primary practice location
53 Goffstown Rd
Manchester, NH 03102-2737
Mailing address
53 Goffstown Rd
Manchester, NH 03102-2737
Phone (603) 669-7162
Other names 1
- Granite State Internal Medicine
National Provider Directory
National Provider DirectoryLocations
53 Goffstown Rd
Manchester, NH 03102
Phone (603) 206-1380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1780862912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 GOFFSTOWN RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031022737",
"telephone_number": "603-669-7162",
"fax_number": "603-206-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 GOFFSTOWN RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031022737",
"telephone_number": "603-669-7162",
"fax_number": "603-206-1378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC MEDICAL CENTER PHYSICIAN PRACTICE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "THERRIEN",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "603-663-8779"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Granite State Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manchester, NH
- Catholic Medical Center (Cardiothoracic Surgical Associates)
- Catholic Medical Center (Catholic Medical Center d/b/a New Hampshire medical Laboratories)
- Catholic Medical Center
- Catholic Medical Center
- Catholic Medical Center Ancillary Health Services LLC
- Catholic Medical Center Ppa (New England Heart Institute)
- Andrew J Catomeris, MD
- Megan Caughey
- Bonnie J Cavanagh, APRN
- Patricia E. Cayer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.