Active NPI
Heather A Mane, M.D.
- Internal Medicine Physician
- Londonderry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16597
- Practice address
- 40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381 - Phone
- (603) 552-1400
- Fax
- (603) 552-1499
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16597 | NH | Primary |
| Pediatrics Physician | 208000000X | 16597 | NH |
Addresses
Primary practice location
40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381
Mailing address
40 Buttrick Rd
Elliot Primary Care Londonderry
Londonderry, NH 03053-3381
Phone (603) 552-1400
Other names 1
- Heather Wiggin
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Massachusetts Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Vna Home Health and Hospice Services, Inc
- Elliot Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16597 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Elliot Physicians Network | Internal Medicine | Past | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
40 Buttrick Rd
#B
Londonderry, NH 03053
40 Buttrick Rd
Unit 1
Londonderry, NH 03053
40 Buttrick Rd
Ste 105
Londonderry, NH 03053
40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1962493940
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
- Home Health Agency
- Manchester, NH
- NPI 1548312705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1689995359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BUTTRICK RD",
"address_2": "ELLIOT PRIMARY CARE LONDONDERRY",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533381",
"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 RD",
"address_2": "ELLIOT PRIMARY CARE LONDONDERRY",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533381",
"telephone_number": "603-552-1400",
"fax_number": "603-552-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANE",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "16597",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "16597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "WIGGIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.