Gerard Joseph Fowler II, CO, BOCO, C. PED.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

280 Pleasant St
Unit #3
Concord, NH 03301-2553

Phone

(603) 228-7159

Fax

(603) 225-4265

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granite State Orthotics and Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Concord, NH
  • NPI 1750565479
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912913856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PLEASANT ST",
            "address_2": "UNIT #3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012553",
            "telephone_number": "603-228-7159",
            "fax_number": "603-225-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PLEASANT ST",
            "address_2": "UNIT #3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012553",
            "telephone_number": "603-228-7159",
            "fax_number": "603-225-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CO, BOCO, C. PED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4665514",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "706167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30761501",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "12Y002242NH01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2264576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Fountain
• Four Points Support Services
• Four Seasons Orthopaedic Center PLLC
• Jacqueline Fournier Cook, PA
• Judy Fournier
• Ryan Christopher Fowler, CRSW
• Denise Fox, ARNP
• Katharine T Fox, MD
• Patrick T Fox, M.D.
• Stephen J Fox, MD

• Prosthetic/Orthotic Supplier in Concord, NH
• Providers in Concord, NH by specialty
• Prosthetic/Orthotic Supplier in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.