Organization Active NPI

Manchester Obstetrical Associates, PA

Doing business as Reproductive Services of Manchester

  • Specialist
  • Manchester, NH
National Provider Identifier
1922198951
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11180 Issued in NH
Legal business name
MANCHESTER OBSTETRICAL ASSOCIATES, PA
Doing business as
Reproductive Services of Manchester
Practice address
150 Tarrytown Rd
Manchester, NH 03103-2713
Phone
(603) 622-3162
Fax
(603) 622-8677
NPI assigned
Oct 13, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Heidi L Meinz, M.D.NPI 1841285236
Title
President
Phone
(603) 622-3162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11180 NH Primary

Addresses

Primary practice location

150 Tarrytown Rd
Manchester, NH 03103-2713

Mailing address

150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 622-3162

Other identifiers 1

IdentifierTypeStateIssuer
81163728MedicaidNH

Other names 1

  • REPRODUCTIVE SERVICES OF MANCHESTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000538 NH Part B Supplier - Clinic/Group Practice 4789628199 Receives reassigned benefits from 8 practitioners
Practice locations: Londonderry, NH; Manchester, NH

National Provider Directory

National Provider Directory
Tax ID family
Manchester Obstetrical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

40 Buttrick Rd
Fl 2
Londonderry, NH 03053
Phone (603) 622-3162

77 Gilcreast Rd
Ste 1000
Londonderry, NH 03053
Phone (603) 622-3162

150 Tarrytown Rd
Manchester, NH 03103
Phone (603) 622-3162

Practitioners & affiliated clinicians

Practitioners 11

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1922198951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-622-3162",
            "fax_number": "603-622-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-622-3162",
            "fax_number": "603-622-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER OBSTETRICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MEINZ",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-622-3162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "11180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81163728",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REPRODUCTIVE SERVICES OF MANCHESTER",
            "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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.