Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Griffin Stallard Kopp, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1073120754

Griffin Stallard Kopp, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in North Conway, New Hampshire. Qualified in 2020, 6 years ago. Practices with Memorial Hospital, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa, New Hampshire and Virginia.

Years since qualifying
6
Licensed in
IA, NH, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone: (603) 356-4835
Fax: (603) 356-2604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 W Main St, Manchester, IA 52057-1525 — (563) 822-1435

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 114103-23 (NH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence D-161938 (IA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 0001237895 (VA)

Record details

NPI number1073120754
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Hospital — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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