Active NPI
Mark Piscopo, MD
- Orthopaedic Surgery Physician
- Manchester, NH
National Provider Identifier
1548228463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 8097
- Practice address
- 185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100 - Phone
- (603) 625-1655
- Fax
- (603) 626-4686
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 8097 | NH | Primary |
Addresses
Primary practice location
185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100
Mailing address
185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAS928 | Other | NH | HARVARD PILGRIM |
| 708165 | Other | NH | TUFTS |
| 0103992Y0NH01 | Other | NH | ANTHEM BC/BS |
| 101105300 | Other | NH | DEPARTMENT OF LABOR |
| RE6661 | Other | NH | MEDICARE GROUP NUMBER |
| 020504866003 | Other | NH | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1548228463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 QUEEN CITY AVE",
"address_2": "ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031017100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 QUEEN CITY AVE",
"address_2": "ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031017100",
"telephone_number": "603-625-1655",
"fax_number": "603-626-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCOPO",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NH",
"license": "8097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "NAS928",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "708165",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "0103992Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "101105300",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "RE6661",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "020504866003",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.