ELLIOT PHYSICIANS NETWORK (NPI# 1831191659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831191659 |
| Entity Type | Organization |
| Organization Name | ELLIOT PHYSICIANS NETWORK |
| Practice Address |
1070 Holt Avenue Unit 1 Suite 2200 Manchester NH 03109 |
| Mailing Address |
1070 Holt Ave Unit 1 Suite 2200 Manchester NH 03109-5603 |
| Practice Telephone | 6036634900 |
| Practice Fax Number | 6036634984 |
| Mailing Telephone | 6036634900 |
| Mailing Fax Number | 6036634984 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-01-27 |
| 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 | 207R00000X | Internal Medicine | ========= | NH | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
========= | NH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ========= | NH | Allopathic & Osteopathic Physicians |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
03977 | NH | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | ========= | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RR MEDICARE GROUP # | CG2227 | 01 |
| 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 |
1070 HOLT AVENUE UNIT 1 SUITE 2200 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109 |
| 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 |
| 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 |
| 1598921538 | Sarah Joy Girard | Occupational Therapist | 357 Island Pond Rd, Manchester, NH 03109 | 2008-07-30 |
| Find all providers in zip 03109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| 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.