ELLIOT PROFESSIONAL SERVICES (NPI# 1972579746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972579746 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | ELLIOT BREAST HEALTH CENTER |
| Practice Address |
275 Mammoth Rd Ste 1 Elliot Breast Health Center Manchester NH 03109-4133 |
| Practice Telephone | 6036683067 |
| Practice Fax Number | 6036680164 |
| Mailing Telephone | 6036683067 |
| Mailing Fax Number | 6036680164 |
| Enumeration Date | 2006-02-23 |
| 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 PROFESSIONAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | RR MEDICARE GRP PIN | CK3360 | 01 |
| NH | 30212132 | 05 |
| Other Name | Type Code |
|---|---|
| Elliot Breast Health Center | 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 BREAST HEALTH CENTER |
| 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 |
| 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 |
| 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 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1013279199 | Eyone Jones | Surgery | 29 Haynes St Ste B, Manchester, CT 06040-4139 | 2012-06-13 |
| 1982721866 | William S. Karkow | Surgery | 2582 150th Ave, Manchester, IA 52057-8524 | 2007-03-23 |
| 1205912102 | Manchester Surgical Assoc | Surgery | 1239 Mcarthur Drive, Manchester, TN 37355-2423 | 2006-10-31 |
| 1598873259 | Ja-nan Yu | Surgery | 1050 Mcarthur Street, Manchester, TN 37349 | 2006-08-25 |
| 1457388183 | Laureen Forgione-rubino | Surgery | 945 Main Street, Suite #105, Manchester, CT 06040 | 2006-06-27 |
| 1568423846 | Marc S Rubenson | Surgery | 125 Chase Way, Manchester, NH 03104-1717 | 2006-03-28 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1861465635 | Reginald Winfield Raynor IIi | Surgery | 29 Haynes St, Suite B, Manchester, CT 06040-4139 | 2006-02-10 |
| 1710976964 | Lawrence Michael Hoepp | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03109 |
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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.