ELLIOT PROFESSIONAL SERVICES NPI 1013006717

NPI Information

  • NPI: 1013006717
  • Provider Name: ELLIOT PROFESSIONAL SERVICES
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Other Name: ELLIOT INTENSIVIST PROGRAM
  • Address: 1 ELLIOT WAY
    ELLIOT INTENSIVIST PROGRAM
    MANCHESTER, NH
    ZIP 03103
  • Phone: (603) 663-2231

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NPI Details

ELLIOT PROFESSIONAL SERVICES is a critical care medicine internal medicine in Manchester, NH. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. ELLIOT PROFESSIONAL SERVICES NPI is 1013006717. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elliot Intensivist Program.

The provider's business location address is:

1 ELLIOT WAY
ELLIOT INTENSIVIST PROGRAM
MANCHESTER, NH
ZIP 03103-502
Phone: (603) 663-2231
Fax: (603) 663-2353

The provider's authorized official is Richard P. Herman .
The authorized official title is Director Of Operations & Finance and has the following contact phone number (603) 663-4904.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CK3360OTHERNEW HAMPSHIRERR MEDICARE
2RE6661MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIRE
330234596MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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