ELLIOT GASTROENTEROLOGY – NPI #1407161151
Internal Medicine

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.

ELLIOT GASTROENTEROLOGY is a provider located in MANCHESTER, NH. NPPES has assigned the NPI number 1407161151 to ELLIOT GASTROENTEROLOGY on August 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLIOT GASTROENTEROLOGY” is a dba name, the actual legal business name for this organization is ELLIOT PROFESSIONAL SERVICES. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 15 years ago on Apr 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIOT GASTROENTEROLOGY below.

NPI Profile for
ELLIOT PROFESSIONAL SERVICES

NPI Number
1407161151
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLIOT PROFESSIONAL SERVICES
Doing Business As (dba): ELLIOT GASTROENTEROLOGY
Primary location
185 QUEEN CITY AVE
ELLIOT GASTROENTEROLOGY
MANCHESTER, NH 03101-7100
Phone: (603) 314-6900 Fax: (603) 314-6909
Mailing address
Same as primary location
Organization Subpart
Yes - ELLIOT GASTROENTEROLOGY is subpart of another organization.
Authorized Official
RICHARD HERMAN
DIRECTOR OF OPERATIONS & FINANCE
Phone: (603) 663-4904
Updated
Identifiers

Identifiers for ELLIOT GASTROENTEROLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUPNHRE6661
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.