GREATER PAWTUCKAWAY IMAGING – NPI #1780650457
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GREATER PAWTUCKAWAY IMAGING is a radiologist located in RAYMOND, NH. NPPES has assigned the NPI number 1780650457 to GREATER PAWTUCKAWAY IMAGING on February 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREATER PAWTUCKAWAY IMAGING” is a dba name, the actual legal business name for this organization is ELLIOT PROFESSIONAL SERVICES. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Jul 08, 2008. 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 GREATER PAWTUCKAWAY IMAGING below.

NPI Profile for
ELLIOT PROFESSIONAL SERVICES

NPI Number
1780650457
Enumeration Date

(more than 20 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): GREATER PAWTUCKAWAY IMAGING
Primary location
15 FREETOWN RD
GREATER PAWTUCKAWAY IMAGING
RAYMOND, NH 03077-2358
Phone: (603) 895-8000 Fax: (603) 895-8099
Mailing address
Same as primary location
Organization Subpart
Yes - GREATER PAWTUCKAWAY IMAGING is subpart of another organization.
Authorized Official
RICHARD HERMAN
DIRECTOR OF OPERATIONS & FINANCE
Phone: (603) 663-4904
Updated
Identifiers

Identifiers for GREATER PAWTUCKAWAY IMAGING

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA GRPNH3207928
OTHERANTHEM GRP ACESNH15Y002260NH02
OTHERCIGNA GRPNH667221
OTHERHPHC GRPNH626440
OTHERRR MEDICARE GRPNHP00009327
OTHERTUFTS GRPNH696696
OTHERW/C DOL GRPNH601463704
MEDICAIDNH30812254
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
2085R0202X
- Radiology / Diagnostic Radiology (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.