ELLIOT PROFESSIONAL SERVICES


Address: 275 Mammoth Rd Ste 1, Elliot Pediatric Neurology, Manchester, NH 03109-4133
Phone: 6036633222

ELLIOT PROFESSIONAL SERVICES (NPI# 1528377876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528377876
Entity Type Organization
Organization Name ELLIOT PROFESSIONAL SERVICES
Other Organization Name ELLIOT PEDIATRIC NEUROLOGY
Practice Address 275 Mammoth Rd Ste 1
Elliot Pediatric Neurology
Manchester
NH 03109-4133
Practice Telephone 6036633222
Practice Fax Number 6036633229
Mailing Telephone 6036633222
Mailing Fax Number 6036633229
Enumeration Date 2010-10-05
Last Update Date 2011-05-11
Authorized Official Name RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
Authorized Official Telephone 6036634904
Is Organization Subpart Y
Parent Organization Name ELLIOT PROFESSIONAL SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Elliot Pediatric Neurology Doing Business As Name - Organization

Other Provider IDs and Locations

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
1285627935 Elliot Professional Services Emergency Medicine 1070 Holt Ave, Unit 1, Suite 2200, Manchester, NH 03109-5603 2005-08-29
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

Office Location

Street Address 275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC NEUROLOGY
City MANCHESTER
State NH
Zip Code 03109-4133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861483489 Elliot Physicians Network Pediatrics 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 2005-11-02
1104187442 Elliot Professional Services Urology 275 Mammoth Rd Ste 1, Elliot Pediatric Urology, Manchester, NH 03109-4133 2012-06-04
1124397187 Elliot Professional Services Pediatrics 275 Mammoth Rd Ste 1, Elliot Developmental and Behavioral Pediatrics, Manchester, NH 03109-4133 2011-12-21
1558640912 Elliot Professional Services Pediatrics 275 Mammoth Rd Ste 1, Elliot Pediatric Nephrology & Integrative Medicine, Manchester, NH 03109-4133 2011-08-16
1649568700 Elliot Professional Services Pediatrics 275 Mammoth Rd Ste 1, Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133 2011-07-11
1093941924 Muhammad Muddasir Qureshi Psychiatry & Neurology 275 Mammoth Rd Ste 1, Manchester, NH 03109 2009-06-05
1053357525 Susan M Strahosky Pediatrics 275 Mammoth Rd Ste 1, Manchester, NH 03109-4133 2006-06-21
1083666986 Elliot Professional Services Surgery 275 Mammoth Rd Ste 1, Elliot Pediatric Surgery Associates, Manchester, NH 03109-4133 2006-05-17
1972579746 Elliot Professional Services Surgery 275 Mammoth Rd Ste 1, Elliot Breast Health Center, Manchester, NH 03109-4133 2006-02-23

Providers in the same zip code

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
1598921538 Sarah Joy Girard Occupational Therapist 357 Island Pond Rd, Manchester, NH 03109 2008-07-30
Find all providers in zip 03109

Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326395955 Priyanka Shekhawat Psychiatry & Neurology 100 Hitchcock Way, Manchester, NH 03104-4125 2012-08-14
1093941924 Muhammad Muddasir Qureshi Psychiatry & Neurology 275 Mammoth Rd Ste 1, Manchester, NH 03109 2009-06-05
1114120953 Jeremy Scott Timothy Psychiatry & Neurology 212 Rosedale Dr, Manchester, PA 17345-1023 2007-06-08
1780629360 Anne Catherine Woods Psychiatry & Neurology 87 Mcgregor St, Ste 1300, Manchester, NH 03102-3765 2006-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841295508 Paul R Cass Psychiatry & Neurology 10 Members Way Ste 300, Dover, NH 03820-5933 2005-06-17
1447359468 M. Cecilia Pinto Lord Psychiatry & Neurology 10 Members Way Ste 300, Dover, NH 03820-5933 2006-09-22
1477564482 James Filiano Psychiatry & Neurology 1 Medical Center Dr, Lebanon, NH 03756-1000 2006-08-11
1215948088 Richard E Nordgren Psychiatry & Neurology 1 Medical Center Dr, Lebanon, NH 03756-1000 2006-08-10
1346238250 Linda A Specht Psychiatry & Neurology 1 Medical Center Dr, Dhmc - Child Development, Lebanon, NH 03756-1000 2005-10-13

Competitor

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City MANCHESTER
Zip Code 03109

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Dataset Information

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.

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