GUS G. EMMICK (NPI# 1043291727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043291727 |
| Entity Type | Individual |
| Full Name | GUS G. EMMICK |
| Credential | MD |
| Practice Address |
11 Kimball Dr Elliot Pediatrics and Primary Care At Riverside Hooksett NH 03106-2603 |
| Practice Telephone | 6036415386 |
| Practice Fax Number | 6036415387 |
| Mailing Telephone | 6036415386 |
| Mailing Fax Number | 6036415387 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 12270 | NH | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 12270 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RR MEDICARE PIN | 990015540 | 01 |
| NH | ANTHEM REFERRING UPIN | H43842 | 01 |
| NH | TUFTS PIN | 112700 | 01 |
| NH | 30201479 | 05 | |
| NH | ANTHEM ACES PIN | 01YP03155NH01 | 01 |
| NH | CIGNA PIN | 520230 | 01 |
| NH | HPHC PIN | NH2088 | 01 |
| NH | AETNA PIN | 2575641 | 01 |
| NH | UHC PIN | 0443297 | 01 |
| Street Address |
11 KIMBALL DR ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE |
| City | HOOKSETT |
| State | NH |
| Zip Code | 03106-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140660 | Elliot Physicians Network | Pediatrics | 11 Kimball Dr, Elliot Pediatrics and Primary Care At Riverside, Hooksett, NH 03106-2603 | 2005-11-07 |
| 1700298304 | Maintaining Independence Adult Day Services, Inc. | Clinic/Center | 11 Kimball Dr, Unit 110, Hooksett, NH 03106-2603 | 2014-05-30 |
| 1245403930 | Focus Physical Therapy LLC | Physical Therapist | 11 Kimball Dr, Unit 128, Hooksett, NH 03106-2603 | 2008-04-02 |
| 1831381987 | Catholic Medical Center | Internal Medicine | 11 Kimball Dr, Hooksett, NH 03106-2603 | 2007-08-13 |
| 1518002112 | Anne M Deluca | Nurse Practitioner | 11 Kimball Dr, Hooksett, NH 03106-2603 | 2007-02-21 |
| 1942340302 | Tammy N Stieper | Physical Therapist | 11 Kimball Dr, Suite 128, Hooksett, NH 03106-2603 | 2007-02-07 |
| 1750428330 | Carol E. Cook-piscopo | Physical Therapist | 11 Kimball Dr, Suite 128, Hooksett, NH 03106-2603 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083166797 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2500 N. River Road, Manchester, NH 03106 | 2016-10-28 |
| 1851728935 | Kerri Lin Federico | Pharmacist | 100 Quality Drive, Hooksett, NH 03106 | 2013-10-03 |
| 1164692406 | Town of Hooksett | Ambulance | 15 Legends Dr, Hooksett, NH 03106 | 2008-03-03 |
| 1255501532 | Endless Smile Family Dental Center LLC | Dentist | 45 London Derry Turnpike, Suite #3, Hooksett, NH 03106 | 2008-03-03 |
| 1831312990 | Fredrick M Vega | Dentist | 311 W. River Road, Suite #2, Hooksett, NH 03106 | 2007-04-10 |
| 1417087941 | Robert P Hockmuth | Family Medicine | Two College Park Drive, Cigna Healthcare, Hooksett, NH 03106 | 2007-03-06 |
| 1437243052 | Darcy A Crisp | Chiropractor | 1100 Hooksett Rd, Suite 102, Hooksett, NH 03106 | 2006-10-03 |
| 1477562353 | David J. Kehas | Family Medicine | 20 Chambers Rd, Elliot Family Medicine At Hooksett, Hooksett, NH 03106 | 2006-08-07 |
| 1891711156 | Garrick J Johnson | Physician Assistant | 200 Technology Drive, New Hampshire Oncology Hematology Pa, Hooksett, NH 03106 | 2006-07-13 |
| 1063475697 | Alfredo J Perez | Internal Medicine | Hooksett Primary Care, 11 Kimball Drive, Hooksett, NH 03106 | 2006-04-06 |
| Find all providers in zip 03106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140660 | Elliot Physicians Network | Pediatrics | 11 Kimball Dr, Elliot Pediatrics and Primary Care At Riverside, Hooksett, NH 03106-2603 | 2005-11-07 |
| 1730325325 | Elliot Professional Services | Pediatrics | 20 Chambers Road, Elliot Pediatric Specialists, Hooksett, NH 03106-1826 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588033 | Serafin Craig Anderson | Pediatrics | 32 Orchard View Dr, Wilton, NH 03086-5733 | 2011-07-25 |
| 1699954529 | Hala S Tabbah | Pediatrics | 125 South Main Street, Franklin, NH 03235-1508 | 2007-10-27 |
| 1376738096 | Ammonoosuc Community Health Services, Inc | Pediatrics | 40 Railroad St, Woodsville, NH 03785-1118 | 2007-09-06 |
| 1508056391 | Santa C Ngo | Pediatrics | 21 Riverside Dr, Dover, NH 03820-4654 | 2007-07-27 |
| 1174603849 | Derry Pediatrics | Pediatrics | 43 B Birch Street, Derry, NH 03038 | 2006-10-17 |
| 1538255138 | Jane Liechty Glidden | Pediatrics | 116 Spit Brook Rd., Nashua, NH 03062-4216 | 2006-10-04 |
| 1851483986 | Ann C Bracken | Pediatrics | 7 Rope Ferry Rd, Dartmouth College Health Service, Hanover, NH 03755-1404 | 2006-09-28 |
| 1194822437 | Sumana Myneni | Pediatrics | Neonatology- Pediatric Hospitalist, 8 Prospect Street, Nicu, Nashua, NH 03060 | 2006-09-20 |
| 1740296961 | Mark David Weinreb | Pediatrics | 446 Central St, Franklin, NH 03235-1777 | 2006-07-31 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.