Active NPI
Elisabeth Moore, MD
- Emergency Medicine Physician
- Berlin, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18810
- Practice address
- 59 Page Hill Rd
Berlin, NH 03570-3531 - Phone
- (603) 752-2200
- Fax
- (603) 752-1836
- NPI assigned
- May 7, 2009
- Last updated
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042-0012485 | VT | |
| Emergency Medicine Physician | 207P00000X | 18810 | NH | Primary |
Addresses
Primary practice location
59 Page Hill Rd
Berlin, NH 03570-3531
Mailing address
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 334-7900
Other practice location 1
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 334-7900
Other names 1
- Elisabeth Pierson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18810 | NH | MD | Emergency Medicine Physician |
| 042-0012485 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weeks Medical Center | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Weeks Medical Center | Current | Accepting new patients | |
| Weeks Medical Center | Current | Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current | Accepting new patients | |
| Upper Connecticut Valley Hospital Association | Current | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827
181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652
173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1205060167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 PAGE HILL RD",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703531",
"telephone_number": "603-752-2200",
"fax_number": "603-752-1836"
}
],
"practiceLocations": [
{
"address_1": "189 Prouty Dr",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "VT",
"postal_code": "058559326",
"country_code": "US",
"telephone_number": "802-334-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ELISABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042-0012485",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "18810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "PIERSON",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.