| Granite State Gastrointestinal Consultants Pllc | |
|
50 Michels Way Londonderry NH 03053 | |
| (603) 432-8802 | |
| (603) 437-0118 |
| Full Name | Granite State Gastrointestinal Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Michels Way, Londonderry, New Hampshire |
| Authorized Official Name and Position | Knut Roalsvig (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 6034328802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite State Gastrointestinal Consultants Pllc 50 Michels Way Londonderry NH 03053 Ph: (603) 432-8802 | Granite State Gastrointestinal Consultants Pllc 50 Michels Way Londonderry NH 03053 Ph: (603) 432-8802 |
| NPI Number | 1942214457 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 02/20/2023 |
| Medicare PECOS PAC ID | 8022093962 |
|---|---|
| Medicare Enrollment ID | O20060925000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942214457 | NPI | - | NPPES |
| 30002464 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Knut J Roalsvig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154381614 PECOS PAC ID: 2567447410 Enrollment ID: I20050729000412 |
| Provider Name | Emilianos N Karagiannis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689657363 PECOS PAC ID: 1850302423 Enrollment ID: I20060510000359 |
| Provider Name | Christopher N Dainiak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710942354 PECOS PAC ID: 2961392428 Enrollment ID: I20060727000276 |
| Provider Name | Steven D Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134106990 PECOS PAC ID: 5890692339 Enrollment ID: I20090209000161 |
| Provider Name | Annette Tobar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326206772 PECOS PAC ID: 7113051772 Enrollment ID: I20140730001124 |
| Provider Name | Allison Anastasoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326491325 PECOS PAC ID: 6305124140 Enrollment ID: I20161028000750 |
| Provider Name | Leon P Mclean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457495806 PECOS PAC ID: 1951598481 Enrollment ID: I20161212002066 |
| Provider Name | Beena Rajagopal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335791 PECOS PAC ID: 5092096487 Enrollment ID: I20161222001152 |
| Provider Name | Bethany Reutemann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285070136 PECOS PAC ID: 8820398555 Enrollment ID: I20201019002258 |
| Provider Name | Steven Tsistrakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992168389 PECOS PAC ID: 4284970567 Enrollment ID: I20220801000191 |
| Provider Name | Deepshikha Nag Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255643078 PECOS PAC ID: 7911299185 Enrollment ID: I20230310001693 |
| Provider Name | Laura Horton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609225242 PECOS PAC ID: 1759675499 Enrollment ID: I20230921001593 |
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