NPIMap

Organization Active NPI

Catholic Medical Center

  • Cardiovascular Disease Physician
  • Manchester, NH
National Provider Identifier
1386672319
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CATHOLIC MEDICAL CENTER
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 663-6657
Fax
(603) 663-6111
NPI assigned
Jun 29, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Carolanne O'Sullivan
Title
Vice President
Phone
(603) 663-6657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-6657

Other names 1

  • New England Heart Institute Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_mano@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000279 NH Part B Supplier - Clinic/Group Practice 6103897129 Receives reassigned benefits from 87 practitioners
Practice locations: Lancaster, NH; Wolfeboro, NH; Plymouth, NH; Peterborough, NH; Nashua, NH; Manchester, NH; Exeter, NH; Derry, NH…

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Catholic Healthcare Trust

Interoperability endpoints

  • Direct secure messaging: amandafucci@gohnh.allscriptsdirect.net
  • Direct secure messaging: anitalawrence@gohnh.allscriptsdirect.net
  • Direct secure messaging: annamcintyre@gohnh.allscriptsdirect.net
  • Direct secure messaging: barrygendron@gohnh.allscriptsdirect.net
  • Direct secure messaging: brentrichardson@gohnh.allscriptsdirect.net
  • Direct secure messaging: brianirwin@gohnh.allscriptsdirect.net
  • Direct secure messaging: brittanyhorrigan@gohnh.allscriptsdirect.net
  • Direct secure messaging: cambriamaguire@gohnh.allscriptsdirect.net
  • Direct secure messaging: davidreall@gohnh.allscriptsdirect.net
  • Direct secure messaging: deborahmueller@gohnh.allscriptsdirect.net
  • Direct secure messaging: deborahstone@gohnh.allscriptsdirect.net
  • Direct secure messaging: dmazza@gohnh.allscriptsdirect.net
  • Direct secure messaging: ellendennehy@gohnh.allscriptsdirect.net
  • Direct secure messaging: ericlewis@gohnh.allscriptsdirect.net
  • Direct secure messaging: georgecostello@gohnh.allscriptsdirect.net
  • Direct secure messaging: harleyheath@gohnh.allscriptsdirect.net
  • Direct secure messaging: jamescubeddu@gohnh.allscriptsdirect.net
  • Direct secure messaging: jamisoncostello@gohnh.allscriptsdirect.net
  • Direct secure messaging: jenniferpinard@gohnh.allscriptsdirect.net
  • Direct secure messaging: jennifertedcastle@gohnh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catholic Medical CenterManchester, NH, CCN 301823 Federally qualified health center Operational/Managerial Control Jun 16, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 135

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.

View all 135

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1386672319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6657",
            "fax_number": "603-663-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6657",
            "fax_number": "603-663-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC MEDICAL CENTER",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "CAROLANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "603-663-6657"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_mano@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New England Heart Institute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New England Heart Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.