NPIMap

Organization Active NPI

Elliot Physician Network

  • Internal Medicine Physician
  • Windham, NH
National Provider Identifier
1790011633
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELLIOT PHYSICIAN NETWORK
Practice address
127 Rockingham Rd Ste 103
Elliot Peak Internal Medicine at Windham
Windham, NH 03087-1360
Phone
(603) 890-0266
Fax
(603) 890-0267
NPI assigned
Oct 28, 2009
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLIOT PHYSICIAN NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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 & Finance
Phone
(603) 663-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

127 Rockingham Rd Ste 103
Elliot Peak Internal Medicine at Windham
Windham, NH 03087-1360

Mailing address

127 Rockingham Rd Ste 103
Elliot Peak Internal Medicine at Windham
Windham, NH 03087-1360
Phone (603) 890-0266

Other names 1

  • Elliot Peak Internal Medicine at Windham Other name

National Provider Directory

National Provider Directory
Tax ID family
Elliot Physician Network28 organizations share this tax ID, including this one
Part of
Elliot Physician Network

Other organizations with this tax ID 27

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

View all 27

Locations

127 Rockingham Rd
Ste 103
Windham, NH 03087
Phone (603) 890-0266

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": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1790011633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM RD STE 103",
            "address_2": "ELLIOT PEAK INTERNAL MEDICINE AT WINDHAM",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871360",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM RD STE 103",
            "address_2": "ELLIOT PEAK INTERNAL MEDICINE AT WINDHAM",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871360",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT PHYSICIAN NETWORK",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "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 & FINANCE",
        "authorized_official_telephone_number": "603-663-4904"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Peak Internal Medicine at Windham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.