Individual provider Active NPI

Robert R. Dow, DO

  • Family Medicine Physician
  • Londonderry, NH
National Provider Identifier
1528057478
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12486 Issued in NH
Practice address
40 Buttrick Road
Londonderry, NH 03053-3372
Phone
(603) 552-1400
Fax
(603) 552-1499
NPI assigned
Oct 13, 2005
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12486 NH Primary

Addresses

Primary practice location

40 Buttrick Road
Londonderry, NH 03053-3372

Mailing address

40 Buttrick Road
Londonderry, NH 03053-3372
Phone (603) 552-1400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050111000088 NH Practitioner - Family Practice 7012965692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

275 Mammoth Rd
Manchester, NH 03109-4133

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12486NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince Jun 1, 2014 Accepting new patients
Elliot Physicians Network Family Medicine CurrentSince Jan 3, 2005 Accepting new patients
Danvers Family Doctors, PC Family Medicine PastSince Dec 17, 2023 Accepting new patients
Elliot Physicians Network Past Accepting new patients

Locations

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

40 Buttrick Rd
#B
Londonderry, NH 03053

40 Buttrick Rd
Ste 105
Londonderry, NH 03053

40 Buttrick Rd
Unit 1
Londonderry, NH 03053

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

275 Mammoth Rd
Manchester, NH 03109
Phone (603) 663-8300

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11783/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1528057478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK ROAD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533372",
            "telephone_number": "603-552-1400",
            "fax_number": "603-552-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK ROAD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533372",
            "telephone_number": "603-552-1400",
            "fax_number": "603-552-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "ROBERT",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.