ELLIOT PROFESSIONAL SERVICES (NPI# 1407161151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407161151 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | ELLIOT GASTROENTEROLOGY |
| Practice Address |
185 Queen City Ave Elliot Gastroenterology Manchester NH 03101-7100 |
| Practice Telephone | 6033146900 |
| Practice Fax Number | 6033146909 |
| Mailing Telephone | 6033146900 |
| Mailing Fax Number | 6033146909 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Telephone | 6036634904 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | MEDICARE GROUP | RE6661 | 01 |
| Other Name | Type Code |
|---|---|
| ELLIOT GASTROENTEROLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780975953 | Elliot Professional Services | Obstetrics & Gynecology | 15 Nelson St Fl 2, Elliot Obstetrics and Gynecology, Manchester, NH 03103-2706 | 2011-04-22 |
| 1598054389 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd, Suite 1, Elliot Pediatric Gastroenterology, Manchester, NH 03109-4126 | 2011-04-01 |
| 1548442213 | Elliot Professional Services | Internal Medicine | 33 S Commercial St Ste 401, Elliot Palliative Care Services, Manchester, NH 03101-2626 | 2007-12-04 |
| 1669431466 | Elliot Professional Services | Psychiatry & Neurology | 445 Cypress St Ste 8, Elliot Behavioral Health Services, Manchester, NH 03103-3600 | 2006-03-21 |
| 1386610020 | Elliot Professional Services | Internal Medicine | One Elliot Way, Hospitalist Program, Manchester, NH 03103 | 2006-02-23 |
| 1568438349 | Elliot Professional Services | Radiology | Meeting Place Plaza 199 - Route 101, Greater Amherst Imaging, Amherst, NH 03031 | 2006-02-23 |
| 1285627935 | Elliot Professional Services | Emergency Medicine | 1070 Holt Ave, Unit 1, Suite 2200, Manchester, NH 03109-5603 | 2005-08-29 |
| 1912255118 | Elliot Professional Services | Dermatology | 185 Queen City Ave, Elliot Dermatology, Manchester, NH 03101-7121 | 2012-08-17 |
| 1104187442 | Elliot Professional Services | Urology | 275 Mammoth Rd Ste 1, Elliot Pediatric Urology, Manchester, NH 03109-4133 | 2012-06-04 |
| 1093072407 | Elliot Professional Services | Obstetrics & Gynecology | 1 Elliot Way, Elliot Maternal Fetal Medicine, Manchester, NH 03103-3502 | 2012-04-23 |
| Street Address |
185 QUEEN CITY AVE ELLIOT GASTROENTEROLOGY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700702 | Stephen M. Wiener | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2005-06-17 |
| 1174140966 | Patrick John Hammer | Physical Therapist | 185 Queen City Ave, Manchester, NH 03101-7121 | 2020-06-29 |
| 1144870601 | Leah Hixon | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2019-09-17 |
| 1821565813 | Kathryn Swegles | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2018-10-27 |
| 1679086839 | Shannon Kelly Ward | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-09 |
| 1679085302 | Marialaina Abbene Tomolonis | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-03 |
| 1225547268 | Susan Marie Dionne | Registered Nurse | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-09-21 |
| 1649713827 | Emily M Miller | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2016-11-21 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1447635263 | Laura Kathryn Radlinski | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841275252 | James W O'brien | Internal Medicine | 353 Main St, Manchester, CT 06040-4145 | 2005-12-08 |
| 1992700702 | Stephen M. Wiener | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2005-06-17 |
| 1124310743 | Khadijat Omolola Balogun | Internal Medicine | 353 Main St, Manchester, CT 06040-4145 | 2011-05-16 |
| 1902197353 | Keri Lee Pinnock | Internal Medicine | 71 Haynes St, Manchester, CT 06040 | 2011-04-20 |
| 1235450792 | Dmitriy Kedrin | Internal Medicine | 185 Queen City Ave, Elliot Gastroenterology, Manchester, NH 03101-7121 | 2010-06-18 |
| 1164541686 | Digestive Health Specialists of Eastern Connecticut LLC | Internal Medicine | 353 Main St, Manchester, CT 06040-4145 | 2007-03-28 |
| 1902935620 | Greater Manchester Gastroenterology | Internal Medicine | 88 Mcgregor St, Suite 302, Manchester, NH 03102-3750 | 2007-03-06 |
| 1093842130 | Klipstein Medical Group PC | Internal Medicine | 272 Main St, Manchester, CT 06042-3536 | 2007-02-27 |
| 1548396211 | Vincent Aguirre | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2007-02-26 |
| 1164563268 | Trinh Bang Meyer | Internal Medicine | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2007-02-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.