Individual provider Active NPI

Mary-Lee Sole, MD

  • Orthopaedic Surgery Physician
  • Manchester, NH
National Provider Identifier
1134187065
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8183 Issued in NH
Practice address
185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100
Phone
(603) 625-1655
Fax
(603) 686-4686
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8183 NH Primary

Addresses

Primary practice location

185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100

Mailing address

185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100
Phone (603) 625-1655

Other identifiers 6

IdentifierTypeStateIssuer
RE6661OtherNHMEDICARE GROUP NUMBER
101105300OtherNHDEPARTMENT OF LABOR
0101789Y0NH01OtherNHANTHEM BC/BS
020504866OtherNHCIGNA
008183OtherNHTUFTS
NA1783OtherNHHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000785 NH Practitioner - Orthopedic Surgery 5698700441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Orthopaedic Surgery PastSince Jan 19, 1999 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1134187065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017100",
            "telephone_number": "603-625-1655",
            "fax_number": "603-686-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017100",
            "telephone_number": "603-625-1655",
            "fax_number": "603-686-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLE",
        "first_name": "MARY-LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "RE6661",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "101105300",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "0101789Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "020504866",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "008183",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "NA1783",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.