Organization Active NPI

Essex Orthopaedics & Optima Sport Medicine PLLC

  • Durable Medical Equipment & Medical Supplies
  • Salem, NH
National Provider Identifier
1063690394
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ESSEX ORTHOPAEDICS & OPTIMA SPORT MEDICINE PLLC
Practice address
16 Pelham Rd
Suite 1
Salem, NH 03079-2826
Phone
(603) 898-2244
Fax
(603) 898-2227
NPI assigned
Feb 8, 2008
Organization subpart
Yes
Parent organization
ESSEX ORTHOPAEDICS & OPTIMA SPORTS MEDICINE PLLC INEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Tahsin M Ergin, M.D.
Title
Partner
Phone
(603) 898-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

16 Pelham Rd
Suite 1
Salem, NH 03079-2826

Mailing address

16 Pelham Rd
Suite 1
Salem, NH 03079-2826
Phone (603) 898-2244

National Provider Directory

National Provider Directory
Part of
Essex Orthopaedics Optima Sport Medicine PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1063690394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD",
            "address_2": "SUITE 1",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792826",
            "telephone_number": "603-898-2244",
            "fax_number": "603-898-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD",
            "address_2": "SUITE 1",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792826",
            "telephone_number": "603-898-2244",
            "fax_number": "603-898-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX ORTHOPAEDICS & OPTIMA SPORT MEDICINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSEX ORTHOPAEDICS & OPTIMA SPORTS MEDICINE PLLC      INE",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "ERGIN",
        "authorized_official_first_name": "TAHSIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-898-2244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.