MICHAEL ELLIOTT (NPI# 1013945310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013945310 |
| Entity Type | Individual |
| Full Name | MICHAEL ELLIOTT |
| Credential | M.D. |
| Practice Address |
1200 S 7th Ave Ste 2 Sioux Falls SD 57105-0998 |
| Mailing Address |
Po Box 86430 Sioux Falls SD 57118-6430 |
| Practice Telephone | 6053362140 |
| Mailing Telephone | 6053224900 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5062 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6701532 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016602 | Michael Alan Elliott | Psychologist | 24800 Chrisanta Dr Ste 120, Mission Viejo, CA 92691-4839 | 2013-07-18 |
| 1700224409 | Michael Elliott | Social Worker | 77 Guilden St, New Brunswick, NJ 08901-1743 | 2013-06-05 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1649338583 | Michael Cody Elliott | Counselor | 1400 College St, Suite 204, Sulphur Springs, TX 75482 | 2006-12-04 |
| 1316057789 | Michael Robert Elliott | Dentist | 1615 Spruce, Duncan, OK 78533-2305 | 2006-08-30 |
| 1972545432 | Michael Brandon Elliott | Dentist | 321 8th St, West Palm Beach, FL 33401-3309 | 2006-06-11 |
| 1548267693 | Michael W Elliott II | Family Medicine | 807 W. Craft St., Robinson, IL 62454-1137 | 2005-07-05 |
| 1306312822 | Michael Chad Elliott | Physician Assistant | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 | 2018-10-23 |
| 1437685534 | Michael Steven Elliott | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, 74135, Tulsa, OK 74135-2536 | 2017-05-10 |
| 1699156877 | Michael Elliott | Emergency Medicine | 299 Kings Daughters Dr, Frankfort, KY 40601 | 2015-06-14 |
| Street Address |
1200 S 7TH AVE STE 2 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080583 | Susan R Johannsen | Physician Assistant | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2005-08-11 |
| 1750818688 | Amber Nicole Groninger | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-05-23 |
| 1598296618 | Jamicah Harris | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-03-21 |
| 1356723308 | Courtney Backer | Pediatrics | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2015-06-26 |
| 1346646833 | Chelsey M Sundberg | Nurse Practitioner | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-11-10 |
| 1669896676 | Justine Peterson | Physician Assistant | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-02-11 |
| 1578904793 | Lorena Gonzalez Stark | Internal Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2013-07-16 |
| 1558613752 | Kelli Willis | Social Worker | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2012-10-11 |
| 1114246576 | Avera Mckennan | Clinic/Center | 1200 S 7th Ave, Suite 2, Sioux Falls, SD 57105-0900 | 2010-05-25 |
| 1912149899 | Alisa L Reindl | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2009-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366704694 | Daniel Ward Mark | Pediatrics | 1600 W 22nd St., Sioux Falls, SD 57105-1521 | 2012-06-12 |
| 1518257047 | Laura Whittington | Pediatrics | 6101 South Louise Ave, Sioux Falls, SD 57108 | 2011-04-18 |
| 1326359761 | Jennifer M Thompson | Pediatrics | 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105-0410 | 2010-06-30 |
| 1992016562 | Connie Natalie Taylor | Pediatrics | 1417 S. Cliff Avenue, Suite 010, Sioux Falls, SD 57105-5710 | 2010-06-29 |
| 1124283296 | Eric C. Towe | Pediatrics | 1417 S. Cliff Ave., Ste. 010, Sioux Falls, SD 57105-1014 | 2008-07-28 |
| 1497913701 | Richard Stanford Hosen | Pediatrics | 108 E 35th St, Sioux Falls, SD 57105-4935 | 2008-05-23 |
| 1629024997 | Candice L Nelson | Pediatrics | 6101 S Louise Ave, Sioux Falls, SD 57108-5981 | 2006-05-26 |
| 1124076278 | Kathy L Reynolds | Pediatrics | 800 East 21st Street, Sioux Falls, SD 57105-1016 | 2006-05-04 |
| 1184690562 | Joseph C Vogel | Pediatrics | 6215 S Cliff Ave, Sioux Falls, SD 57108-8596 | 2006-02-27 |
| 1265412332 | Kara Diane Bruning | Pediatrics | 1200 S. 7th Ave, Mcgreevy Clinic Avera, Sioux Falls, SD 57105 | 2006-01-17 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.