Central New Hampshire Nephrology Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL NEW HAMPSHIRE NEPHROLOGY CLINIC, PLLC

Practice address

87 Spring St
Laconia, NH 03246-3156

Phone

(603) 524-8896

Fax

(603) 524-8796

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Noshi A. Ishak, M.D.NPI 1205952488

Title

Medical Director

Phone

(603) 524-8896

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 1

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

• Noshi A Ishak, MD

  • Nephrology Physician
  • Laconia, NH
  • NPI 1205952488

  NH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1982887675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463156",
            "telephone_number": "603-524-8896",
            "fax_number": "603-524-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463156",
            "telephone_number": "603-524-8896",
            "fax_number": "603-524-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW HAMPSHIRE NEPHROLOGY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "ISHAK",
        "authorized_official_first_name": "NOSHI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "603-524-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OLD PIN",
            "identifier": "RE4253",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Casella
• Debbie Cassavant, HS DIPLOMA
• Shannon Cassidy, BSW
• Central New Hampshire ER Associates
• Central New Hampshire Kidney Center,LLC
• Gary L Chandler, LICSW
• Janet Chaney
• Lily Chanthasak
• Jeanne Marie Chapman
• Anne Myers Cheshire, M.ED., CCC-SLP

• All providers in Laconia, NH
• Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.