Individual provider Active NPI

Elizabeth A Sanders, MD

  • Family Medicine Physician
  • Concord, NH
National Provider Identifier
1578579082
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9102 Issued in NH
Practice address
2 Pillsbury St
Suite 401
Concord, NH 03301-3502
Phone
(603) 224-7575
Fax
(603) 228-7255
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 9102 NH Primary

Addresses

Primary practice location

2 Pillsbury St
Suite 401
Concord, NH 03301-3502

Mailing address

2 Pillsbury St
Suite 401
Concord, NH 03301-3502
Phone (603) 224-7575

Other identifiers 5

IdentifierTypeStateIssuer
30007527MedicaidNH
51377OtherNHMATTHEW THRONTON
30211217OtherNHMEDICAID GROUP PROVIDER #
08976600OtherNHANTHEM BLUE CHOICE
260982OtherNHCIGNA (CORRECTED)

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
I20050511000270 NH Practitioner - Family Practice 7315987161 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Dec 14, 2017 Accepting new patients
State of New Hampshire CurrentSince Dec 14, 2017 Accepting new patients

Locations

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1578579082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST",
            "address_2": "SUITE 401",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-224-7575",
            "fax_number": "603-228-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST",
            "address_2": "SUITE 401",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-224-7575",
            "fax_number": "603-228-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007527",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW THRONTON",
            "identifier": "51377",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PROVIDER #",
            "identifier": "30211217",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CHOICE",
            "identifier": "08976600",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (CORRECTED)",
            "identifier": "260982",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.