Organization Active NPI

N.H.Gastroenterology,Inc

  • Gastroenterology Physician
  • Manchester, NH
National Provider Identifier
1104871052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
N.H.GASTROENTEROLOGY,INC
Practice address
88 McGregor St
Suite 302
Manchester, NH 03102-3750
Phone
(603) 625-5744
Fax
(603) 625-1740
NPI assigned
May 22, 2006
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
Ms. Diane P Marcoux, R.N.
Title
Practice Manager
Phone
(603) 625-5744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

88 McGregor St
Suite 302
Manchester, NH 03102-3750

Mailing address

88 McGregor St
Suite 302
Manchester, NH 03102-3750
Phone (603) 625-5744

Other identifiers 1

IdentifierTypeStateIssuer
30011541MedicaidNH

National Provider Directory

National Provider Directory

Locations

88 McGregor St
Ste 302
Manchester, NH 03102
Phone (603) 622-8800

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104871052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-625-5744",
            "fax_number": "603-625-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-625-5744",
            "fax_number": "603-625-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.H.GASTROENTEROLOGY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCOUX",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-625-5744",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011541",
            "state": "NH"
        }
    ],
    "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.