Jonathan E Mack (NPI# 1275522625, PAC ID# 5890759203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1275522625 |
| PAC ID by PECOS | 5890759203 |
| Professional Enrollment ID | I20110113000076 |
| Full Name | Jonathan E Mack |
| Organization Legal Name | ELLIOT PROFESSIONAL SERVICES |
| Address |
One Elliot Way Manchester NH 03103 |
| Phone Number | 6036633630 |
| Gender | M |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6103727920 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300012 | ELLIOT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| One Elliot Way, Manchester, NH 03103 | 6036633630 | ELLIOT PROFESSIONAL SERVICES |
| Organization Legal Name | ELLIOT PROFESSIONAL SERVICES |
| Physicians | 232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Rocha | Psychiatry | Elliot Professional Services | 445 Cypress St, Suite 8, Manchester, NH 03103-3600 |
| Elyse E Holder | Physician Assistant | Elliot Professional Services | 15 Nelson St 2nd Floor, Manchester, NH 03103-2706 |
| Christopher G Russell | Physician Assistant | Elliot Professional Services | Four Elliot Way, 201 Marc S. Rubenson Md, Manchester, NH 03103-3553 |
| Jennifer L Steichen | Internal Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Douglas F Marks Jr. | Rheumatology | Elliot Professional Services | 185 Queen City Ave, Manchester, NH 03101-7121 |
| Mary K Kazanowski | Nurse Practitioner | Elliot Professional Services | 1 Elliot Way, Manchester, NH 03103-3502 |
| Joseph H Cameron | Physician Assistant | Elliot Professional Services | 40 Buttrick Rd, Londonderry, NH 03053-3381 |
| Gerard J Hevern | Family Medicine | Elliot Professional Services | 185 Queen City Ave, Manchester, NH 03101-7121 |
| Ross L Gourvitz | Psychologist, Clinical | Elliot Professional Services | 40 Buttrick Rd, Londonderry, NH 03053-3381 |
| Jessica Faye Lavoie | Physician Assistant | Elliot Professional Services | 1 Elliot Way, Manchester, NH 03103-3502 |
| Street Address |
ONE ELLIOT WAY |
| City | MANCHESTER |
| State | NH |
| Zip | 03103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Steichen | Internal Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Cathrine H St. Denis | Nurse Practitioner | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Shweta Gupta | Internal Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Johny S Kuttab | Interventional Cardiology | Elliot Professional Services | One Elliot Way, 100 Elliot Cardiovascular Consultants, Manchester, NH 03103-3502 |
| Ashley L Lynch | Nurse Practitioner | Elliot Professional Services | One Elliot Way, 100 Elliot Cardiovascular Consultants, Manchester, NH 03103-3502 |
| Stephanie Rousseau | Emergency Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Ramona S Mcconville | Nurse Practitioner | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Gregory V Hebert | Emergency Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Alan Craig Garber | Critical Care (intensivists) | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Linda Kornfeld | Hospice/palliative Care | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Wilmot | Emergency Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Carl M Fier | Interventional Cardiology | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Michael Robert Trautwein | Hospitalist | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Michelle J Campbell | Nurse Practitioner | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Blair R Johnson | Internal Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Jill H Hunter | Nurse Practitioner | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Mark Biletch | Neurology | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Robert W Thies | Neurology | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Chung Mok Yoo | Internal Medicine | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Bethany L Hart | Obstetrics/gynecology | Elliot Professional Services | One Elliot Way, Manchester, NH 03103 |
| Find all physicians in zip 03103 | |||
| City | MANCHESTER |
| Zip Code | 03103 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MANCHESTER + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jonathan E Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.