NPIMap

Organization Active NPI

Merrimack Valley Orthopaedic Surgery

  • Specialist
  • Manchester, NH
National Provider Identifier
1821046061
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8097 Issued in NH
Legal business name
MERRIMACK VALLEY ORTHOPAEDIC SURGERY
Practice address
4 Elliot Way
Suite 100
Manchester, NH 03103-3547
Phone
(603) 625-1655
Fax
(603) 626-4686
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dorothy Olivier
Title
Office Manager
Phone
(603) 668-4253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8097 NH Primary

Addresses

Primary practice location

4 Elliot Way
Suite 100
Manchester, NH 03103-3547

Mailing address

4 Elliot Way
Suite 100
Manchester, NH 03103-3547
Phone (603) 625-1655

Other identifiers 4

IdentifierTypeStateIssuer
708165OtherNHTUFTS
NAS928OtherNHHARVARD PILGRIM
0066136OtherNHCIGNA
0103992Y0NH01OtherNVANTHEM

National Provider Directory

National Provider Directory

Locations

4 Elliot Way
Ste 100
Manchester, NH 03103
Phone (603) 625-1655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821046061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-625-1655",
            "fax_number": "603-626-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-625-1655",
            "fax_number": "603-626-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY ORTHOPAEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-668-4253"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NH",
            "license": "8097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "708165",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "NAS928",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0066136",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0103992Y0NH01",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 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.