NPIMap

Organization Active NPI

Elliot Physicians Network

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1053580845
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELLIOT PHYSICIANS NETWORK
Practice address
4 Elliot Way Ste 102
Elliot Bay Medical Associates
Manchester, NH 03103-3551
Phone
(603) 626-5900
Fax
(603) 625-2180
NPI assigned
Feb 26, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLIOT PHYSICIANS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard P. Herman
Title
Director of Operations & Finance
Phone
(603) 663-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4 Elliot Way Ste 102
Elliot Bay Medical Associates
Manchester, NH 03103-3551

Mailing address

4 Elliot Way Ste 102
Elliot Bay Medical Associates
Manchester, NH 03103-3551
Phone (603) 626-5900

Other names 1

  • Elliot Bay Medical Associates Other name

National Provider Directory

National Provider Directory
Tax ID family
Salem Medical Center28 organizations share this tax ID, including this one
Part of
Salem Medical Center

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1053580845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY STE 102",
            "address_2": "ELLIOT BAY MEDICAL ASSOCIATES",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033551",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY STE 102",
            "address_2": "ELLIOT BAY MEDICAL ASSOCIATES",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033551",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT PHYSICIANS NETWORK",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & FINANCE",
        "authorized_official_telephone_number": "603-663-4904"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Bay Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.