ELLIOT PROFESSIONAL SERVICES (NPI# 1790090017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790090017 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | PULMONARY MEDICINE ASSOCIATES |
| Practice Address |
706 Riverway Pl Bedford NH 03110-6768 |
| Practice Telephone | 6036233516 |
| Practice Fax Number | 6036233580 |
| Mailing Telephone | 6036233516 |
| Mailing Fax Number | 6036233580 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036634904 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | MEDICARE GROUP | RE6661 | 01 |
| Other Name | Type Code |
|---|---|
| Pulmonary Medicine Associates | 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 |
706 RIVERWAY PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057454 | Robert Cameron Brethauer | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1306807102 | Joshua Dion | Nurse Practitioner | 706 Riverway Pl, Bedford, NH 03110-6768 | 2006-03-31 |
| 1740280536 | Stephen Francis Rowe | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-22 |
| 1740289776 | Peter Edward Corrigan | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1528067501 | Kimberly Anne Rouleau | Nurse Practitioner | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1942209945 | Pulmonary Medicine Associates, PC | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1427057454 | Robert Cameron Brethauer | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1760038624 | Richard W Hazen Md | Internal Medicine | 2304 Highway 121, Bedford, TX 76021-5985 | 2019-08-15 |
| 1295836047 | Integrated Health Services Management | Internal Medicine | 88 Center Rd, Suite 230, Bedford, OH 44146-2700 | 2006-09-26 |
| 1003859687 | Stephen M Johnson | Internal Medicine | 1613 Oakwood St, Bedford, VA 24523-1213 | 2006-06-13 |
| 1740280536 | Stephen Francis Rowe | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-22 |
| 1740289776 | Peter Edward Corrigan | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1942209945 | Pulmonary Medicine Associates, PC | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134338858 | Vinia Madonna Castillo Mendoza | Internal Medicine | 21 Whitehall Rd Ste 302, Rochester, NH 03867-3236 | 2007-05-21 |
| 1013067297 | Maria A Davila | Internal Medicine | 1611 Hooksett Rd, Hooksett, NH 03106-1621 | 2007-01-11 |
| 1154340271 | Eduardo Velez Calderon | Internal Medicine | 166 Kinsley Street, Suite 101 Pulmonary Associates, Nashua, NH 03060 | 2006-07-19 |
| 1508829078 | Elizabeth A. Lynch | Internal Medicine | 1 Little River Rd, Kingston, NH 03848-3117 | 2006-04-07 |
| 1235123191 | Waverly Syndor Green IIi | Internal Medicine | 580 Saint Johnsbury Rd, Suite 25, Littleton, NH 03561-3437 | 2005-09-07 |
| 1295087468 | Syed Mudassar Naqshbandi | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2012-10-11 |
| 1932464211 | Haitham Al Ashry | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2012-07-12 |
| 1144589375 | Catherine A. Stadler | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 | 2012-05-08 |
| 1699007799 | Sleep Institute of New England, Pllc | Internal Medicine | 1 Little River Rd, Kingston, NH 03848-3117 | 2010-02-01 |
| 1477882967 | Manuel Roberto De Aguirre | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2009-12-14 |
| 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.