Edmund S Schiavoni Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8939 Issued in NH

Practice address

6 Tsienneto Road
Suite 300
Derry, NH 03038-0038

Phone

(603) 216-0400

Fax

(603) 216-3800

NPI assigned

Oct 3, 2006

Last updated

Oct 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern New Hampshire Internal Medicine Associates PCGroup PAC ID 9133111990, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edmundschiavoni@snhima.allscriptsdirect.net

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.

• Southern New Hampshire Internal Medicine Associates, PLLC

  • Specialist
  • Derry, NH
  • NPI 1316026677
  Medicare reassignment Care Compare group NPD
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  NPD (past)
• Indianapolis Ophthalmology PC

  dba Abrams EyeCare Associates

  • Eyewear Supplier
  • Carmel, IN
  • NPI 1336257542
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1285728584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO ROAD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030380038",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO ROAD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030380038",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVONI",
        "first_name": "EDMUND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "8939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007797",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly C Salach-Laferte, MCMHC
• Jessica Salas
• Salem Radiology LLP (Rockingham Radiology)
• Rebecca Sargent
• Michele Saunders
• Susan Schick
• Andrea B Schneebaum, MD
• Katherine Scholz
• Scott Copeland PA
• Thomas H Scott, DO

• Internal Medicine Physician in Derry, NH
• Providers in Derry, 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 Oct 30, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.