MEDICARE: ELLIOT PHYSICIANS NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CG2227	OTHER	NH	RR MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538140660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLIOT PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	11 KIMBALL DR
Second Line	:	ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE
City	:	HOOKSETT
State	:	NH
Zip	:	03106-2603
Country	:	US
Telephone Number	:	603-641-5386
Fax Number	:	603-641-5387

Provider Business Practice Location Address
First Line	:	11 KIMBALL DR
Second Line	:	ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE
City	:	HOOKSETT
State	:	NH
Zip	:	03106-2603
Country	:	US
Telephone Number	:	603-641-5386
Fax Number	:	603-641-5387

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS & FINANCE
Name	:	RICHARD P. HERMAN
Credential	:
Telephone Number	:	603-663-4904

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	06/20/2008

Similar Medicare Providers

1336242494 — DR. LINDA M PIMENTA DNP, APRN
Practice Location Address:

11 KIMBALL DR
HOOKSETT, NH
03106-2603

Practice Phone: 603-824-3555
Practice Fax:

1750428330 — CAROL E. COOK-PISCOPO RPT
Practice Location Address:

11 KIMBALL DR , SUITE 128
HOOKSETT, NH
03106-2603

Practice Phone: 603-836-4464
Practice Fax: 603-836-4501

1942340302 — TAMMY N STIEPER RPT, DPT
Practice Location Address:

11 KIMBALL DR , SUITE 128
HOOKSETT, NH
03106-2603

Practice Phone: 603-836-4464
Practice Fax: 603-836-4501

1518002112 — MRS. ANNE M DELUCA APRN
Practice Location Address:

11 KIMBALL DR
HOOKSETT, NH
03106-2603

Practice Phone: 603-663-1990
Practice Fax: 603-663-1989

1831381987 — CATHOLIC MEDICAL CENTER
Practice Location Address:

11 KIMBALL DR
HOOKSETT, NH
03106-2603

Practice Phone: 603-663-1990
Practice Fax:

1245403930 — FOCUS PHYSICAL THERAPY LLC
Practice Location Address:

11 KIMBALL DR , UNIT 128
HOOKSETT, NH
03106-2603

Practice Phone: 603-860-9057
Practice Fax:

Directions to “ELLIOT PHYSICIANS NETWORK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.