ELLIOT PROFESSIONAL SERVICES (NPI# 1285627935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285627935 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Practice Address |
1070 Holt Ave Unit 1, Suite 2200 Manchester NH 03109-5603 |
| Mailing Address |
Po Box 9659 Manchester NH 03108-9659 |
| Practice Telephone | 6036634900 |
| Practice Fax Number | 6036634984 |
| Mailing Telephone | 6036634900 |
| Mailing Fax Number | 6036634984 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036634904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RR MEDICARE GROUP # | CK3360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780975953 | Elliot Professional Services | Obstetrics & Gynecology | 15 Nelson St Fl 2, Elliot Obstetrics and Gynecology, Manchester, NH 03103-2706 | 2011-04-22 |
| 1598054389 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd, Suite 1, Elliot Pediatric Gastroenterology, Manchester, NH 03109-4126 | 2011-04-01 |
| 1548442213 | Elliot Professional Services | Internal Medicine | 33 S Commercial St Ste 401, Elliot Palliative Care Services, Manchester, NH 03101-2626 | 2007-12-04 |
| 1669431466 | Elliot Professional Services | Psychiatry & Neurology | 445 Cypress St Ste 8, Elliot Behavioral Health Services, Manchester, NH 03103-3600 | 2006-03-21 |
| 1386610020 | Elliot Professional Services | Internal Medicine | One Elliot Way, Hospitalist Program, Manchester, NH 03103 | 2006-02-23 |
| 1568438349 | Elliot Professional Services | Radiology | Meeting Place Plaza 199 - Route 101, Greater Amherst Imaging, Amherst, NH 03031 | 2006-02-23 |
| 1912255118 | Elliot Professional Services | Dermatology | 185 Queen City Ave, Elliot Dermatology, Manchester, NH 03101-7121 | 2012-08-17 |
| 1104187442 | Elliot Professional Services | Urology | 275 Mammoth Rd Ste 1, Elliot Pediatric Urology, Manchester, NH 03109-4133 | 2012-06-04 |
| 1093072407 | Elliot Professional Services | Obstetrics & Gynecology | 1 Elliot Way, Elliot Maternal Fetal Medicine, Manchester, NH 03103-3502 | 2012-04-23 |
| 1124397187 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd Ste 1, Elliot Developmental and Behavioral Pediatrics, Manchester, NH 03109-4133 | 2011-12-21 |
| Street Address |
1070 HOLT AVE UNIT 1, SUITE 2200 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780832139 | Vna Home Health & Hospice Services, Inc | Home Health | 1070 Holt Ave, Suite 1400, Manchester, NH 03109-5603 | 2008-08-28 |
| 1750543013 | Elliot Hospital | Clinic/Center | 1070 Holt Ave, Manchester, NH 03109-5603 | 2008-06-27 |
| 1528248325 | Elliot Adult Day Care | Clinic/Center | 1070 Holt Ave, Manchester, NH 03109-5603 | 2007-11-08 |
| 1265628846 | Michelle M Desjardins | Family Medicine | 1070 Holt Ave, Manchester, NH 03109 | 2007-09-18 |
| 1598807976 | Shauna Leigh Lafond | Dietitian, Registered | 1070 Holt Ave, Unit 1 Suite 1400, Manchester, NH 03109-5603 | 2007-02-13 |
| 1316099690 | Vna Personal Services Inc | Home Health | 1070 Holt Ave, Suite 1400, Manchester, NH 03109-5603 | 2007-01-17 |
| 1548312705 | Vna Home Health & Hospice Services, Inc. | Home Health | 1070 Holt Ave, Suite 1400, Manchester, NH 03109-5603 | 2007-01-17 |
| 1710038591 | Vna Home Health & Hospice Services Inc | Hospice Care, Community Based | 1070 Holt Ave, Suite 1400, Manchester, NH 03109-5603 | 2007-01-16 |
| 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 |
| 1326474750 | Jason Michael Albrecht | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109 | 2013-09-17 |
| 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 |
| 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 |
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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.