NPIMap

Organization Active NPI

Elliot Physicians Network

Doing business as Doctors Park Pediatrics

  • Pediatrics Physician
  • Manchester, NH
National Provider Identifier
1912997396
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ELLIOT PHYSICIANS NETWORK
Doing business as
Doctors Park Pediatrics
Practice address
275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133
Phone
(603) 663-8300
Fax
(603) 663-8349
NPI assigned
Oct 26, 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 & Finance
Phone
(603) 663-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133

Mailing address

275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133
Phone (603) 663-8300

Other names 1

  • Doctors Park Pediatrics 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

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1912997396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 2",
            "address_2": "DOCTORS PARK PEDIATRICS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094133",
            "telephone_number": "603-663-8300",
            "fax_number": "603-663-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 2",
            "address_2": "DOCTORS PARK PEDIATRICS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094133",
            "telephone_number": "603-663-8300",
            "fax_number": "603-663-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT PHYSICIANS NETWORK",
        "enumeration_date": "2005-10-26",
        "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 & FINANCE",
        "authorized_official_telephone_number": "603-663-5766"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Park Pediatrics",
            "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.