Organization Active NPI

North Country Gastroenterology

  • Gastroenterology Physician
  • Littleton, NH
National Provider Identifier
1154786804
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9856 Issued in NH
Legal business name
NORTH COUNTRY GASTROENTEROLOGY
Practice address
220 Cottage St
Littleton, NH 03561-4101
Phone
(603) 444-0272
Fax
(603) 444-0274
NPI assigned
Dec 23, 2015
Organization subpart
Yes
Parent organization
NORTH COUNTRY GASTROENTEROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. Howard S Mitz, DONPI 1558365155
Title
Owner
Phone
(603) 444-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 9856 NH Primary

Addresses

Primary practice location

220 Cottage St
Littleton, NH 03561-4101

Mailing address

220 Cottage St
Littleton, NH 03561-4101
Phone (603) 444-0272

Other identifiers 1

IdentifierTypeStateIssuer
3083147MedicaidNH

National Provider Directory

National Provider Directory
Part of
Howard S Mitz DO

Locations

220 Cottage St
Littleton, NH 03561
Phone (603) 444-0272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1154786804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COTTAGE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614101",
            "telephone_number": "603-444-0272",
            "fax_number": "603-444-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COTTAGE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614101",
            "telephone_number": "603-444-0272",
            "fax_number": "603-444-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY GASTROENTEROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTRY GASTROENTEROLOGY",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "MITZ",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-444-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "9856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083147",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.