Active NPI
Dan M Tzizik, PA
- Medical Physician Assistant
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0323
- Practice address
- 250 Pleasant St
Concord, NH 03301-7539 - Phone
- (603) 225-7000
- Fax
- (603) 230-7218
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0323 | NH | Primary |
Addresses
Primary practice location
250 Pleasant St
Concord, NH 03301-7539
Mailing address
250 Pleasant St
Concord, NH 03301-7539
Phone (603) 225-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30334018 | Medicaid | NH |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Beehive Dr
Epping, NH 03042-3310
Phone (603) 526-4635
127 Plaistow Rd
Suite 1
Plaistow, NH 03865-2811
Phone (603) 797-9289
24 Homestead PL
Alton, NH 03809-4913
Phone (603) 822-4713
410 Miracle Mile
Lebanon, NH 03766-2639
Phone (603) 276-3260
558 Mast Rd
Goffstown, NH 03045-5256
Phone (603) 232-1790
636 Lafayette Rd
Seabrook, NH 03874-4298
Phone (603) 457-7830
7 Cinemagic Way
Hooksett, NH 03106-1088
Phone (603) 526-4635
75 Laconia Rd
Suite 500
Tilton, NH 03276-5240
Phone (603) 729-0050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0323 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd, PLLC | Current | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Locations
410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260
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.
-
- Urgent Care Clinic/Center
- Goffstown, NH
- NPI 1093295792
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1891711867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017539",
"telephone_number": "603-225-7000",
"fax_number": "603-230-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017539",
"telephone_number": "603-225-7000",
"fax_number": "603-230-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TZIZIK",
"first_name": "DAN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "0323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30334018",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.