ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE – NPI #1558640912
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE is a provider located in MANCHESTER, NH. NPPES has assigned the NPI number 1558640912 to ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE on August 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE” is a dba name, the actual legal business name for this organization is ELLIOT PROFESSIONAL SERVICES. The primary taxonomy selected by this provider is 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology

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 PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE below.

NPI Profile for
ELLIOT PROFESSIONAL SERVICES

NPI Number
1558640912
Enumeration Date

(about 15 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 PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE
Primary location
275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC NEPHROLOGY & INTEGRATIVE MEDICINE
MANCHESTER, NH 03109-4133
Phone: (603) 663-3222 Fax: (603) 663-3229
Mailing address
Same as primary location
Organization Subpart
Yes - ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE is subpart of another organization.
Authorized Official
RICHARD HERMAN
DIRECTOR OF OPERATIONS & FINANCE
Phone: (603) 663-4904
Updated
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
2080P0210X
- Pediatrics / Pediatric Nephrology (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.