Peak Internal Medicine Assoc PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10943 Issued in NH

Legal business name

PEAK INTERNAL MEDICINE ASSOC PLLC

Practice address

127 Rockingham Rd
Ste 103
Windham, NH 03087-1360

Phone

(603) 890-0266

Fax

(603) 890-0267

NPI assigned

Oct 23, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Marie Hatzos, MDNPI 1013079862

Title

Proprietor

Phone

(603) 890-0266

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Peak Internal Medicine Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Hatzos, MD

  • Internal Medicine Physician
  • Windham, NH
  • NPI 1013079862
  NPD (past) Authorized official
• Ellen Joan Dang, APRN

  • Nurse Practitioner
  • Derry, NH
  • NPI 1568591147
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1275616500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM RD",
            "address_2": "STE 103",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871360",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM RD",
            "address_2": "STE 103",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871360",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK INTERNAL MEDICINE ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HATZOS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "603-890-0266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10943",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NH",
            "license": "10943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3007021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200876",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212498",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Internal Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Windham, NH
• Providers in Windham, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.