1. Home
  2. Directory
  3. New Hampshire
  4. Manchester
  5. Specialist
  6. NPI Profile
  7. NPI Record 1518411461

ROBERT GOOD
Complete NPI Record 1518411461
Specialist in Manchester, NH

NPI Status: Active since August 09, 2016

Contact Information

401 CYPRESS ST
MANCHESTER, NH
ZIP 03103
Phone: (603) 668-4111
Fax: (603) 628-7757

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Second Line Business Mailing Address
  7. Provider Business Mailing Address City Name
  8. Provider Business Mailing Address State Name
  9. Provider Business Mailing Address Postal Code
  10. Provider Business Mailing Address Country Code If outside U S
  11. Provider Business Mailing Address Telephone Number
  12. Provider Business Mailing Address Fax Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Business Practice Location Address Fax Number
  20. Provider Enumeration Date
  21. Last Update Date
  22. Provider Gender Code
  23. Healthcare Provider Taxonomy Code 1
  24. Healthcare Provider Primary Taxonomy Switch 1
  25. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1518411461. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1518411461
The State code in the location of the provider being identified.
Entity Type Code: 1
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
The country code in the location address of the provider being identified.
Provider First Name: ROBERT
The telephone number associated with the location address of the provider being identified.
Provider First Line Business Mailing Address: 2 WALL ST
The fax number associated with the location address of the provider being identified.
Provider Second Line Business Mailing Address: STE 300
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address City Name: MANCHESTER
The date that a record was last updated or changed.
Provider Business Mailing Address State Name: NH
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Postal Code: 031011518
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Country Code If outside U S : US
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address Telephone Number: 6036684111
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Mailing Address Fax Number: 6036287757
Provider First Line Business Practice Location Address: 401 CYPRESS ST
Provider Business Practice Location Address City Name: MANCHESTER
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address State Name: NH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Postal Code: 031033628
Provider Business Practice Location Address Country Code If outside U S : US
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Practice Location Address Telephone Number: 6036684111
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 6036287757
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Enumeration Date: 8/9/2016
The last name of the provider. If the provider is an individual, this is the legal name.
Last Update Date: 8/9/2016
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 174400000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No