ELLIOT PROFESSIONAL SERVICES


Address: 275 Mammoth Rd Ste 1, Elliot Pediatric Nephrology & Integrative Medicine, Manchester, NH 03109-4133
Phone: 6036633222

ELLIOT PROFESSIONAL SERVICES (NPI# 1558640912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558640912
Entity Type Organization
Organization Name ELLIOT PROFESSIONAL SERVICES
Other Organization Name ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE
Practice Address 275 Mammoth Rd Ste 1
Elliot Pediatric Nephrology & Integrative Medicine
Manchester
NH 03109-4133
Practice Telephone 6036633222
Practice Fax Number 6036633229
Mailing Telephone 6036633222
Mailing Fax Number 6036633229
Enumeration Date 2011-08-16
Last Update Date 2011-08-16
Authorized Official Name RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
Authorized Official Telephone 6036634904
Is Organization Subpart Y
Parent Organization Name ELLIOT PROFESSIONAL SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0210X Pediatrics
Specialization: Pediatric Nephrology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Elliot Pediatric Nephrology and Integrative Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC NEPHROLOGY & INTEGRATIVE MEDICINE
City MANCHESTER
State NH
Zip Code 03109-4133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861483489 Elliot Physicians Network Pediatrics 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 2005-11-02
1104187442 Elliot Professional Services Urology 275 Mammoth Rd Ste 1, Elliot Pediatric Urology, Manchester, NH 03109-4133 2012-06-04
1124397187 Elliot Professional Services Pediatrics 275 Mammoth Rd Ste 1, Elliot Developmental and Behavioral Pediatrics, Manchester, NH 03109-4133 2011-12-21
1649568700 Elliot Professional Services Pediatrics 275 Mammoth Rd Ste 1, Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133 2011-07-11
1528377876 Elliot Professional Services Psychiatry & Neurology 275 Mammoth Rd Ste 1, Elliot Pediatric Neurology, Manchester, NH 03109-4133 2010-10-05
1093941924 Muhammad Muddasir Qureshi Psychiatry & Neurology 275 Mammoth Rd Ste 1, Manchester, NH 03109 2009-06-05
1053357525 Susan M Strahosky Pediatrics 275 Mammoth Rd Ste 1, Manchester, NH 03109-4133 2006-06-21
1083666986 Elliot Professional Services Surgery 275 Mammoth Rd Ste 1, Elliot Pediatric Surgery Associates, Manchester, NH 03109-4133 2006-05-17
1972579746 Elliot Professional Services Surgery 275 Mammoth Rd Ste 1, Elliot Breast Health Center, Manchester, NH 03109-4133 2006-02-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275960452 Valerie Amador Physical Therapy Assistant 195 Sibley Terrace, Manchester, NH 03109 2013-10-02
1104894708 Mahendra Singh Panesar Pediatrics Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-03-09
1225004005 Edward P. Dalton Surgery Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-02-23
1487644829 Donald E. Salvatore Pediatrics 275 Mammoth Road, Suite 2, Manchester, NH 03109 2005-10-26
1831191659 Elliot Physicians Network Internal Medicine 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 2005-08-11
1457862195 Julianne Jefferson Nurse Practitioner 271 Mammoth Rd, Manchester, NH 03109 2017-10-20
1154708964 Jared Dunahay Pediatrics 275 Mammoth Rd Ste 2, Manchester, NH 03109 2015-04-30
1326474750 Jason Michael Albrecht Internal Medicine 275 Mammoth Rd Ste 4, Manchester, NH 03109 2013-09-17
1316379266 Johnson Orthodontics, Pllc Dentist 113 Mammoth Rd, Suite 1, Manchester, NH 03109 2013-08-02
1598921538 Sarah Joy Girard Occupational Therapist 357 Island Pond Rd, Manchester, NH 03109 2008-07-30
Find all providers in zip 03109

Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093743205 Matthew M Hand Pediatrics 1 Elliot Way, Elliot Hospital - Pediatric Nephrology, Manchester, NH 03103-3502 2006-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831347426 Debora Matossian Pediatrics 1 Medical Center Dr, Dhmc - Dept of Pediatric Nephrology, Lebanon, NH 03756-1000 2008-09-08

Competitor

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City MANCHESTER
Zip Code 03109

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Dataset Information

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.

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