ELLIOT PROFESSIONAL SERVICES (NPI# 1558640912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558640912 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE |
| Practice Address |
275 Mammoth Rd Ste 1 Elliot Pediatric Nephrology & Integrative Medicine Manchester NH 03109-4133 |
| Practice Telephone | 6036633222 |
| Practice Fax Number | 6036633229 |
| Mailing Telephone | 6036633222 |
| Mailing Fax Number | 6036633229 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036634904 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Elliot Pediatric Nephrology and Integrative Medicine | Doing Business As Name - Organization |
| 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 |
| Street Address |
275 MAMMOTH RD STE 1 ELLIOT PEDIATRIC NEPHROLOGY & INTEGRATIVE MEDICINE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-4133 |
| 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 |
| 1649568700 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd Ste 1, Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133 | 2011-07-11 |
| 1528377876 | Elliot Professional Services | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Elliot Pediatric Neurology, Manchester, NH 03109-4133 | 2010-10-05 |
| 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 |
| 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 Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743205 | Matthew M Hand | Pediatrics | 1 Elliot Way, Elliot Hospital - Pediatric Nephrology, Manchester, NH 03103-3502 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831347426 | Debora Matossian | Pediatrics | 1 Medical Center Dr, Dhmc - Dept of Pediatric Nephrology, Lebanon, NH 03756-1000 | 2008-09-08 |
| City | MANCHESTER |
| Zip Code | 03109 |
Please comment or provide details below to improve the information on ELLIOT PROFESSIONAL SERVICES.
| 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.