Mr. Samuel R Grady, PA
Physician Assistant, Medical in Manchester, New Hampshire
1205287174- Practice location
- 100 Mcgregor St, Manchester, NH 03102-3730
- Phone
- 603-668-3545
- Fax
- —
- Last updated
- March 17, 2018
Samuel Reed Grady is a Physician Assistant, Medical based in Manchester, NH. Samuel Reed Grady practices in Manchester, NH and has the professional credentials of PA. The NPI Number for Samuel Reed Grady is 1205287174 and holds a License No. 019735 (NY). The current practice location address for Samuel Reed Grady is 100 Mcgregor St, Manchester, NH 03102-3730 and can be reached out via phone at 603-668-3545.
Provider Profile Details
- NPI Number
- 1205287174
- Provider Name
- Samuel Reed Grady
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Mcgregor St, Manchester, NH 03102-3730
- Phone Number
- 603-668-3545
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2016
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Mcgregor St
Manchester, NH 03102-3730 - City
- Manchester
- State
- New Hampshire
- Zip
- 03102-3730
- Phone Number
- 603-668-3545
Provider Business Mailing Address Details
- Address
- 100 Mcgregor Street
Manchester, NH 03102 - City
- Manchester
- State
- NH
- Zip
- 03102
License Information
- License Number (1)
- 019735
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 1287
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Samuel R Grady, PA?
The NPI number of Mr. Samuel R Grady, PA is 1205287174. It was assigned on June 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Samuel R Grady, PA?
Mr. Samuel R Grady, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 019735.
Where does Mr. Samuel R Grady, PA practice?
The practice location is 100 Mcgregor St, Manchester, NH 03102-3730. The office can be reached at 603-668-3545 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205287174 directly on the NPPES registry website.