ELLIOT PHYSICIANS NETWORK (NPI# 1205821295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205821295 |
| Entity Type | Organization |
| Organization Name | ELLIOT PHYSICIANS NETWORK |
| Other Organization Name | DERRYFIELD MEDICAL GROUP |
| Practice Address |
275 Mammoth Rd Ste 4 Derryfield Medical Group Manchester NH 03109-4133 |
| Practice Telephone | 6036244380 |
| Practice Fax Number | 6036244805 |
| Mailing Telephone | 6036244380 |
| Mailing Fax Number | 6036244805 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036635766 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT PHYSICIANS NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RR MEDICARE GROUP # | CG2227 | 01 |
| NH | 30210576 | 05 |
| Other Name | Type Code |
|---|---|
| Derryfield Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053642892 | Elliot Physicians Network | Family Medicine | 4 Elliot Way, Suite 100, Elliot Family Medicine At Manchester, Manchester, NH 03103-3551 | 2010-01-19 |
| 1023099017 | Elliot Physicians Network | Internal Medicine | 182 Tarrytown Rd, Kenneth D. Thomas, Md, Manchester, NH 03103-2713 | 2005-11-08 |
| 1538140660 | Elliot Physicians Network | Pediatrics | 11 Kimball Dr, Elliot Pediatrics and Primary Care At Riverside, Hooksett, NH 03106-2603 | 2005-11-07 |
| 1861483489 | Elliot Physicians Network | Pediatrics | 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 | 2005-11-02 |
| 1649261512 | Elliot Physicians Network | Family Medicine | 52 High St, Elliot Family Medicine At New Boston, New Boston, NH 03070-4027 | 2005-10-31 |
| 1588655567 | Elliot Physicians Network | Family Medicine | 89 S Mast Rd, Elliot Family Medicine At Glen Lake, Goffstown, NH 03045-6102 | 2005-10-31 |
| 1598756488 | Elliot Physicians Network | Pediatrics | 15 Freetown Rd, Elliot Pediatrics and Primary Care At Raymond, Raymond, NH 03077-2358 | 2005-10-31 |
| 1801887872 | Elliot Physicians Network | Family Medicine | 1256 Hooksett Rd, Elliot Family Medicine At Hooksett, Hooksett, NH 03106-1839 | 2005-10-31 |
| 1063403996 | Elliot Physicians Network | Internal Medicine | 190 Tarrytown Rd, Granite State Medical Center, Manchester, NH 03103-2713 | 2005-10-31 |
| 1962493940 | Elliot Physicians Network | Internal Medicine | 445 Cypress St Ste 9, Hampshire Internal Medicine, Manchester, NH 03103-3600 | 2005-10-31 |
| Street Address |
275 MAMMOTH RD STE 4 DERRYFIELD MEDICAL GROUP |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326474750 | Jason Michael Albrecht | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109 | 2013-09-17 |
| 1740623263 | Christopher Matthew Price | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109-4133 | 2013-04-15 |
| 1326355777 | Ritche Lamanilao Casenas | Internal Medicine | 275 Mammoth Rd Ste 4, Derryfield Medical Group, Manchester, NH 03109-4133 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275960452 | Valerie Amador | Physical Therapy Assistant | 195 Sibley Terrace, Manchester, NH 03109 | 2013-10-02 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1831191659 | Elliot Physicians Network | Internal Medicine | 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 | 2005-08-11 |
| 1457862195 | Julianne Jefferson | Nurse Practitioner | 271 Mammoth Rd, Manchester, NH 03109 | 2017-10-20 |
| 1154708964 | Jared Dunahay | Pediatrics | 275 Mammoth Rd Ste 2, Manchester, NH 03109 | 2015-04-30 |
| 1316379266 | Johnson Orthodontics, Pllc | Dentist | 113 Mammoth Rd, Suite 1, Manchester, NH 03109 | 2013-08-02 |
| 1093941924 | Muhammad Muddasir Qureshi | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Manchester, NH 03109 | 2009-06-05 |
| 1598921538 | Sarah Joy Girard | Occupational Therapist | 357 Island Pond Rd, Manchester, NH 03109 | 2008-07-30 |
| Find all providers in zip 03109 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1962780940 | Imelda Angelica Perez Cirilo | Internal Medicine | 629 Middle Tpke E, Manchester, CT 06040-3731 | 2011-07-25 |
| 1366670754 | Johny Hanna Simon Kuttab | Internal Medicine | 1 Elliot Way # 100, Manchester, NH 03103 | 2009-06-24 |
| 1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
| 1861646952 | Mediclinik | Internal Medicine | 14173 Manchester Rd Ste C, Manchester, MO 63011-4524 | 2008-11-16 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1669635694 | Patrick Scanlon | Internal Medicine | 87 Mcgregor St Ste 1300, Manchester, NH 03102-3765 | 2008-07-09 |
| 1659538239 | Dr. Biesek Pllc | Internal Medicine | 1650 Elm St Ste 302, Manchester, NH 03101-1217 | 2008-05-21 |
| 1023283009 | Peter Wilson Shaw | Internal Medicine | 100 Mcgregor St # Stb, Manchester, NH 03102 | 2008-04-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03109 |
Please comment or provide details below to improve the information on ELLIOT PHYSICIANS NETWORK.
| 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.