ELLIOT PEDIATRIC UROLOGY – NPI #1104187442
Urology

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

ELLIOT PEDIATRIC UROLOGY is an urologist located in MANCHESTER, NH. NPPES has assigned the NPI number 1104187442 to ELLIOT PEDIATRIC UROLOGY on June 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLIOT PEDIATRIC UROLOGY” is a dba name, the actual legal business name for this organization is ELLIOT PROFESSIONAL SERVICES. The primary taxonomy selected by this provider is 2088P0231X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Pediatric Urology

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 UROLOGY below.

NPI Profile for
ELLIOT PROFESSIONAL SERVICES

NPI Number
1104187442
Enumeration Date

(more than 14 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 UROLOGY
Primary location
275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC UROLOGY
MANCHESTER, NH 03109-4133
Phone: (603) 663-3222 Fax: (603) 663-3229
Mailing address
Same as primary location
Organization Subpart
Yes - ELLIOT PEDIATRIC UROLOGY is subpart of another organization.
Authorized Official
RICHARD HERMAN
DIRECTOR OF OPERATIONS AND 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
2088P0231X
- Urology / Pediatric Urology (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.