Individual provider Active NPI

Heather A Mane, M.D.

  • Internal Medicine Physician
  • Londonderry, NH
National Provider Identifier
1689995359
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16597 Issued in NH
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

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
I20140905000022 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3476771478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Massachusetts Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16597NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Internal Medicine CurrentSince Aug 31, 2014 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.