ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
NPI 1154310910
Family Medicine in Bedford, NH
NPI Status: Active since October 14, 2005
Contact Information
15 CONSTITUTION DR
ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
BEDFORD, NH
ZIP 03110
Phone: (603) 472-7233
Fax: (603) 472-9188
- Organization
- Family Medicine
- CLIA Number: 30D0935199
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-21-2025
About ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
This page provides the complete NPI Profile along with additional information for Elliot Family Medicine At Bedford Village, a primary care provider established in Bedford, New Hampshire operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154310910 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Elliot Family Medicine At Bedford Village operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Elliot Family Medicine At Bedford Village. The authorized official of this NPI record is Richard P. Herman (Director Of Operations & Finance)
- NPI
- 1154310910
- Provider Legal Name
- ELLIOT PHYSICIANS NETWORK
- Other Organization Name
- ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE BEDFORD, NH 03110
- Location Phone
- (603) 472-7233
- Location Fax
- (603) 472-9188
- Mailing Address
- 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE BEDFORD, NH 03110
- Mailing Phone
- (603) 472-7233
- Mailing Fax
- (603) 472-9188
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-14-2005
- Last Update Date
- 06-20-2008
- Code Navigator
A primary care provider (PCP) like Elliot Family Medicine At Bedford Village sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| RE5600 | MEDICARE ID-TYPE UNSPECIFIED (04) | NH | MEDICARE GRP # |
| 30210578 | MEDICAID (05) | NH | |
| CG2227 | OTHER (01) | NH | RR MEDICARE GRP # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 30D0935199
- Facility Type
- Physician Office
- Certificate Effective Date
- October 22, 2023
- Certificate Expiration Date
- October 21, 2025
- Laboratory Director
- HOLLY P. MINTZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Elliot Family Medicine At Bedford Village in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 1 | 0 | 9 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 1 | 0 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 1 + 0 + 9 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1154310910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164425641 | DR. STEPHEN D. ELGERT M.D. Individual | Family Medicine (Geriatric Medicine) | 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE BEDFORD, NH 03110 (603) 472-7233 |
| 1346351053 | DR. SHERYL R. GOTTWALD PH.D. Individual | Specialist | 15 CONSTITUTION DR SUITE 111, INDEPENDENCE PLACE BEDFORD, NH 03110 (603) 471-0198 |
| 1972666014 | MR. ROBERT P GLEJZER MA, LCMHC Individual | Counselor (Mental Health) | 15 CONSTITUTION DR SUITE 155 BEDFORD, NH 03110 (603) 714-2514 |
| 1841572708 | MRS. SUSAN A DELEO Individual | Pharmacist | 15 CONSTITUTION DR BEDFORD, NH 03110 (603) 472-2346 |
| 1407298938 | MELISSA LAWLESS APRN Individual | Nurse Practitioner (Family) | 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE BEDFORD, NH 03110 (603) 472-7233 |
| 1811355373 | FOX REHAB-NH, LLC Organization | Physical Therapist | 15 CONSTITUTION DR 1ST FLOOR SUITE 144 BEDFORD, NH 03110 (877) 407-3422 |
| 1437446325 | DR. SUNG EUN JANG M.D. Individual | Family Medicine | 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEFORD VILLAGE BEDFORD, NH 03110 (603) 472-7233 |
| 1770027286 | AWARE RECOVERY CARE INC Organization | Community/Behavioral Health | 15 CONSTITUTION DR SUITE 2N BEDFORD, NH 03110 (203) 779-5799 |
| 1295274694 | PSYCHIATRIC WELLNESS CENTER Organization | Nurse Practitioner (Psychiatric/Mental Health) | 15 CONSTITUTION DR SUITE 1A BEDFORD, NH 03110 (603) 310-5027 |
| 1225519515 | KRISTINE HEAD Individual | Behavior Technician | 15 CONSTITUTION DR BEDFORD, NH 03110 (818) 345-2345 |
| 1285901975 | KATY MCLAUGHLIN L.M.T. Individual | Massage Therapist | 15 CONSTITUTION DR BEDFORD, NH 03110 (646) 912-3434 |
| 1790241909 | MADISON TAYLOR Individual | Behavior Technician | 15 CONSTITUTION DR BEDFORD, NH 03110 (818) 345-2345 |
| 1427615657 | DARLENE ROSE GIANATASIO Individual | Behavior Technician | 15 CONSTITUTION DR BEDFORD, NH 03110 (887) 448-4747 |
| 1649839721 | MISS SAMANTHA DEAN ARSENAULT Individual | Behavior Analyst | 15 CONSTITUTION DR BEDFORD, NH 03110 (818) 345-2345 |
| 1558916932 | MISS KATHERINE SARAH ABBOTT BS Individual | Behavior Technician | 15 CONSTITUTION DR BEDFORD, NH 03110 (603) 637-9406 |
| 1245859529 | ORBIT TRANSPORTATION Organization | Non-emergency Medical Transport (VAN) | 15 CONSTITUTION DR BEDFORD, NH 03110 (651) 500-8383 |
| 1831188697 | JUDITH M. MCCOLE DO Individual | Family Medicine | 15 CONSTITUTION DR ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE BEDFORD, NH 03110 (603) 472-7233 |
| 1780949560 | TOTAL RENAL CARE INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 15 CONSTITUTION DR STE 1C BEDFORD, NH 03110 (603) 471-1904 |
| 1891381174 | ALLIED CAREGIVERS Organization | In Home Supportive Care | 15 CONSTITUTION DR BEDFORD, NH 03110 (603) 932-6303 |
| 1619565074 | MR. TRAVIS L CRAM SR. RDCS Individual | Home Health Aide | 15 CONSTITUTION DR BEDFORD, NH 03110 (603) 477-4369 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154310910, enumerated in the NPI registry as an "organization" on October 14, 2005
The provider is located at 15 Constitution Dr Elliot Family Medicine At Bedford Village Bedford, Nh 03110 and the phone number is (603) 472-7233
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 30D0935199 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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