ELLIOT PROFESSIONAL SERVICES (NPI# 1932366531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932366531 |
| Entity Type | Organization |
| Organization Name | ELLIOT PROFESSIONAL SERVICES |
| Other Organization Name | ELLIOT PULMONARY MEDICINE |
| Practice Address |
185 Queen City Avenue Elliot Pulmonary Medicine Manchester NH 03101-7100 |
| Practice Telephone | 6036633770 |
| Practice Fax Number | 6036633779 |
| Mailing Telephone | 6036633770 |
| Mailing Fax Number | 6036633779 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | RICHARD P HERMAN (DIRECTOR OF OPERATIONS AND 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 | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30216644 | 05 | |
| RR MEDICARE | CK3360 | 01 |
| Other Name | Type Code |
|---|---|
| Elliot Pulmonary Medicine | 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 AVENUE ELLIOT PULMONARY MEDICINE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291350 | Elliot 1 Day Surgery Center | Clinic/Center | 185 Queen City Avenue, Manchester, NH 03101 | 2006-03-29 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1932464211 | Haitham Al Ashry | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2012-07-12 |
| 1700044641 | Mark Christopher Pohlman | Internal Medicine | 87 Mcgregor St, Dartmouth Hitchcock - Pulmonary, Manchester, NH 03102-3765 | 2008-05-28 |
| 1316126998 | Muhammad Farrukh Mirza | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2007-10-30 |
| 1841487097 | Lung & Sleep Medicine, Inc. | Internal Medicine | 13975 Manchester Rd, Suite 7, Manchester, MO 63011-4500 | 2007-10-02 |
| 1073619151 | William H Goodman | Internal Medicine | 87 Mcgregor St, Ste 2200, Manchester, NH 03102-3765 | 2006-09-15 |
| 1912910332 | Arthur Stephen Banner | Internal Medicine | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134338858 | Vinia Madonna Castillo Mendoza | Internal Medicine | 21 Whitehall Rd Ste 302, Rochester, NH 03867-3236 | 2007-05-21 |
| 1013067297 | Maria A Davila | Internal Medicine | 1611 Hooksett Rd, Hooksett, NH 03106-1621 | 2007-01-11 |
| 1154340271 | Eduardo Velez Calderon | Internal Medicine | 166 Kinsley Street, Suite 101 Pulmonary Associates, Nashua, NH 03060 | 2006-07-19 |
| 1508829078 | Elizabeth A. Lynch | Internal Medicine | 1 Little River Rd, Kingston, NH 03848-3117 | 2006-04-07 |
| 1235123191 | Waverly Syndor Green IIi | Internal Medicine | 580 Saint Johnsbury Rd, Suite 25, Littleton, NH 03561-3437 | 2005-09-07 |
| 1427057454 | Robert Cameron Brethauer | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2005-07-20 |
| 1295087468 | Syed Mudassar Naqshbandi | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2012-10-11 |
| 1144589375 | Catherine A. Stadler | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 | 2012-05-08 |
| 1790090017 | Elliot Professional Services | Internal Medicine | 706 Riverway Pl, Bedford, NH 03110-6768 | 2010-08-11 |
| 1699007799 | Sleep Institute of New England, Pllc | Internal Medicine | 1 Little River Rd, Kingston, NH 03848-3117 | 2010-02-01 |
| Find all providers with the same taxonomy | ||||
| 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.