NPIMap

Organization Active NPI

Elliot Physicians Network

Doing business as Senior Health Primary Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Manchester, NH
National Provider Identifier
1770564775
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ELLIOT PHYSICIANS NETWORK
Doing business as
Senior Health Primary Care
Practice address
138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512
Phone
(603) 663-7030
Fax
(603) 663-7039
NPI assigned
Nov 8, 2005
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLIOT PHYSICIANS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Richard P. Herman
Title
Director of Operations and Finance
Phone
(603) 663-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512

Mailing address

138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512
Phone (603) 663-7030

Other names 1

  • Senior Health Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Medical Center28 organizations share this tax ID, including this one
Part of
Salem Medical Center

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

138 Webster St
Manchester, NH 03104
Phone (603) 645-5977

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1770564775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WEBSTER ST",
            "address_2": "SENIOR HEALTH PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042512",
            "telephone_number": "603-663-7030",
            "fax_number": "603-663-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WEBSTER ST",
            "address_2": "SENIOR HEALTH PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042512",
            "telephone_number": "603-663-7030",
            "fax_number": "603-663-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT PHYSICIANS NETWORK",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS AND FINANCE",
        "authorized_official_telephone_number": "603-663-4904"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.