ELLIOT PHYSICIANS NETWORK (NPI# 1841288743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841288743 |
| Entity Type | Organization |
| Organization Name | ELLIOT PHYSICIANS NETWORK |
| Other Organization Name | ELLIOT PRIMARY CARE AT LONDONDERRY |
| Practice Address |
40 Buttrick Rd Elliot Primary Care At Londonderry Londonderry NH 03053-3381 |
| Practice Telephone | 6035372100 |
| Practice Fax Number | 6035372107 |
| Mailing Telephone | 6035372100 |
| Mailing Fax Number | 6035372107 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036634904 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT PHYSICIANS NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30210569 | 05 | |
| NH | RR MEDICARE GRP PIN | CG2227 | 01 |
| Other Name | Type Code |
|---|---|
| Elliot Primary Care at Londonderry | Other Name - Individual/Organization |
| 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 |
40 BUTTRICK RD ELLIOT PRIMARY CARE AT LONDONDERRY |
| City | LONDONDERRY |
| State | NH |
| Zip Code | 03053-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012654 | Jaclyn N Truland | Nurse Practitioner | 40 Buttrick Rd, Londonderry, NH 03053-3381 | 2018-02-08 |
| 1467801811 | Jessica Y. Rhee | Clinical Neuropsychologist | 40 Buttrick Rd, Londonderry, NH 03053 | 2016-06-07 |
| 1285088450 | Louie E Olive | Family Medicine | 40 Buttrick Rd, Londonderry, NH 03053-3381 | 2016-04-14 |
| 1710345509 | Jon Duhaime | Registered Nurse | 40 Buttrick Rd, Elliot Primary Care At Londonderry, Londonderry, NH 03053-3381 | 2016-02-08 |
| 1558701771 | Jenna E Morrill | Nurse Practitioner | 40 Buttrick Rd, Elliot Primary Care Londonderry, Londonderry, NH 03053-3381 | 2013-07-02 |
| 1801155031 | Pamela Stamegna | Internal Medicine | 40 Buttrick Rd, Elliot Primary Care At Londonderry, Londonderry, NH 03053-3381 | 2012-05-08 |
| 1689995359 | Heather A Mane | Internal Medicine | 40 Buttrick Rd, Elliot Primary Care Londonderry, Londonderry, NH 03053-3381 | 2010-06-17 |
| 1942462007 | Andrea Jean Galasso | Internal Medicine | 40 Buttrick Rd, Elliot Internal Medicine At Londonderry, Londonderry, NH 03053-3381 | 2008-06-30 |
| 1063694107 | Elliot Physicians Network | Internal Medicine | 40 Buttrick Rd, Elliot Internal Medicine At Londonderry, Londonderry, NH 03053-3381 | 2007-11-30 |
| 1346435211 | Elliot Professional Services | Emergency Medicine | 40 Buttrick Rd, Elliot Urgent Care Center, Londonderry, NH 03053-3381 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142380 | Convenientmd LLC | Clinic/Center | 42 Nashua Road, Londonderry, NH 03053 | 2020-10-21 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1619325990 | Darin Gray | Physician Assistant | 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 | 2016-05-27 |
| 1427427574 | Valerie Jean Mazzola | Social Worker | 3 Nutfield Drive, Londonderry, NH 03053 | 2015-09-18 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1780068098 | Paul Timothy Hellings | Orthotist | 136 Harvey Rd Ste A105, Londonderry, NH 03053 | 2015-07-16 |
| 1962805960 | Liani Perez | Social Worker | 5 Picadilly Circle, Londonderry, NH 03053 | 2014-10-03 |
| 1871921007 | Debra Ann Champa | Physical Therapy Assistant | 1 Cardinal Circle, Londonderry, NH 03053 | 2013-10-25 |
| 1649523655 | Granite Strategic Transportation | Private Vehicle | 1 Nashua Road, 26, Londonderry, NH 03053 | 2012-10-16 |
| Find all providers in zip 03053 | ||||
| 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 |
|---|---|---|---|---|
| 1023511763 | Mw Wellness Ventures I, LLC | Family Medicine | 24 Orchard View Dr Ste 2, Londonderry, NH 03053-3376 | 2018-03-08 |
| 1366684755 | Katharine Laura Wetherbee | Family Medicine | 6 Buttrick Rd Ste 200, Londonderry, NH 03053-3417 | 2009-03-31 |
| 1326187204 | Melanie Mary Canon | Family Medicine | 38 Route 11, Londonderry, VT 05148-9555 | 2007-02-06 |
| 1255431532 | Daniela Elda Verani | Family Medicine | 182 Rockingham Rd, Suite 9, Londonderry, NH 03053-2165 | 2006-09-25 |
| 1093821936 | Bart N Quirinale | Family Medicine | 5 Hancock Dr, Londonderry, NH 03053-2592 | 2006-08-22 |
| 1376517201 | Craig Stevens Packard | Family Medicine | 156 Harvey Rd, Concentra Urgent Care, Londonderry, NH 03053 | 2006-02-15 |
| 1346239878 | Parkland Physician Services Inc | Family Medicine | 41 Buttrick Rd, Londonderry, NH 03053-3367 | 2005-10-18 |
| 1528057478 | Robert R. Dow | Family Medicine | 40 Buttrick Road, Londonderry, NH 03053-3372 | 2005-10-13 |
| 1285088450 | Louie E Olive | Family Medicine | 40 Buttrick Rd, Londonderry, NH 03053-3381 | 2016-04-14 |
| 1093137820 | Lauren Abbott | Family Medicine | 6 Buttrick Rd, Suite 102, Londonderry, NH 03053-3417 | 2014-01-14 |
| Find all providers in LONDONDERRY | ||||
| City | LONDONDERRY |
| Zip Code | 03053 |
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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.