NPIMap

Organization Active NPI

Healthways Family Practice LLC

  • Family Medicine Physician
  • Manchester, NH
National Provider Identifier
1073554770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6042 Issued in NH
Legal business name
HEALTHWAYS FAMILY PRACTICE LLC
Practice address
59 Sheffield Rd
Manchester, NH 03103-2314
Phone
(603) 606-7020
Fax
(603) 622-4102
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Justyn E Miller
Title
Owner
Phone
(603) 606-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 6042 NH Primary

Addresses

Primary practice location

59 Sheffield Rd
Manchester, NH 03103-2314

Mailing address

59 Sheffield Rd
Manchester, NH 03103-2314
Phone (603) 606-7020

National Provider Directory

National Provider Directory

Locations

59 Sheffield Rd
Manchester, NH 03103
Phone (603) 606-7020

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073554770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SHEFFIELD RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032314",
            "telephone_number": "603-606-7020",
            "fax_number": "603-622-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SHEFFIELD RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032314",
            "telephone_number": "603-606-7020",
            "fax_number": "603-622-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAYS FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUSTYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-606-7020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.