NPIMap

Organization Active NPI

Elliot Physician Network

  • Family Medicine Physician
  • Manchester, NH
National Provider Identifier
1184857641
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELLIOT PHYSICIAN NETWORK
Practice address
345 Cilley Rd
Elliot Family Medicine at East Manchester
Manchester, NH 03103-4500
Phone
(603) 606-6977
Fax
(603) 606-6983
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLIOT PHYSICIAN NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Richard P Herman
Title
Director of Operations & Finance
Phone
(603) 663-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

345 Cilley Rd
Elliot Family Medicine at East Manchester
Manchester, NH 03103-4500

Mailing address

345 Cilley Rd
Elliot Family Medicine at East Manchester
Manchester, NH 03103-4500
Phone (603) 606-6977

Other names 1

  • Elliot Family Medicine at East Manchester Other name

National Provider Directory

National Provider Directory
Tax ID family
Elliot Physician Network28 organizations share this tax ID, including this one
Part of
Elliot Physician Network

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1184857641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CILLEY RD",
            "address_2": "ELLIOT FAMILY MEDICINE AT EAST MANCHESTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034500",
            "telephone_number": "603-606-6977",
            "fax_number": "603-606-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CILLEY RD",
            "address_2": "ELLIOT FAMILY MEDICINE AT EAST MANCHESTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034500",
            "telephone_number": "603-606-6977",
            "fax_number": "603-606-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT PHYSICIAN NETWORK",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & FINANCE",
        "authorized_official_telephone_number": "603-663-4904"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Family Medicine at East Manchester",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 1, 2009; 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.