Elliot Physicians Network
Organization Active NPI Internal Medicine Physician · Manchester, NH
NPI 1053580845 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1053580845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- Yes
- Parent organization (as reported)
- ELLIOT PHYSICIANS NETWORK
Authorized official
- Name
- Richard P. Herman
- Title
- Director of Operations & Finance
- Phone
- (603) 663-4904
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Elliot Physician Network
- Part of
- Elliot Physician Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30216443 | Medicaid | NH | |
| CG2227 | Other | NH | RR MEDICARE |
Other names
- Elliot Bay Medical Associates
Other providers in Manchester, NH
- Elliot Hospital of the City of Manchester
- Elliot Hospital of the City of Manchester
- Elliot Physician Network
- Elliot Physician Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
All providers in Manchester, NH · Internal Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.