ELLIOT PROFESSIONAL SERVICES (NPI# 1841478500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841478500 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | ELLIOT GENERAL SURGICAL SPECIALISTS |
| Practice Address |
185 Queen City Ave Elliot General Surgical Specialists Manchester NH 03101-7100 |
| Practice Telephone | 6036271102 |
| Practice Fax Number | 6036475524 |
| Mailing Telephone | 6036271102 |
| Mailing Fax Number | 6036475524 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-03-18 |
| 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 |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30216408 | 05 | |
| NH | RR MEDICARE | CK3360 | 01 |
| Other Name | Type Code |
|---|---|
| Elliot General Surgical Specialists | Other Name - Individual/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 GENERAL SURGICAL SPECIALISTS |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1013279199 | Eyone Jones | Surgery | 29 Haynes St Ste B, Manchester, CT 06040-4139 | 2012-06-13 |
| 1982721866 | William S. Karkow | Surgery | 2582 150th Ave, Manchester, IA 52057-8524 | 2007-03-23 |
| 1205912102 | Manchester Surgical Assoc | Surgery | 1239 Mcarthur Drive, Manchester, TN 37355-2423 | 2006-10-31 |
| 1598873259 | Ja-nan Yu | Surgery | 1050 Mcarthur Street, Manchester, TN 37349 | 2006-08-25 |
| 1457388183 | Laureen Forgione-rubino | Surgery | 945 Main Street, Suite #105, Manchester, CT 06040 | 2006-06-27 |
| 1568423846 | Marc S Rubenson | Surgery | 125 Chase Way, Manchester, NH 03104-1717 | 2006-03-28 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1861465635 | Reginald Winfield Raynor IIi | Surgery | 29 Haynes St, Suite B, Manchester, CT 06040-4139 | 2006-02-10 |
| 1710976964 | Lawrence Michael Hoepp | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| 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.