DAVID HENRY ELLIOTT (NPI# 1023175395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023175395 |
| Entity Type | Individual |
| Full Name | DAVID HENRY ELLIOTT |
| Credential | M.D. |
| Practice Address |
105 Mills Ave Ste 300 Las Vegas NM 87701-4169 |
| Practice Telephone | 5054259311 |
| Practice Fax Number | 5054259047 |
| Mailing Telephone | 5054259311 |
| Mailing Fax Number | 5054259047 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | NM76-31 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS BLUE S HIELD | NM0000771 | 01 |
| NM | PRESBYTERIAN HEALTH PLAN | 201002805 | 01 |
| NM | HMO OF NEW MEXICO | 50015 | 01 |
| NM | NM000013003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114279379 | David Elliott | Social Worker | 3181 Bevis Rd, Franklin, GA 30217-6423 | 2012-10-11 |
| 1134438500 | David Elliott | Counselor | 2255 River Plaza Dr Apt 188, Sacramento, CA 95833-4117 | 2010-10-01 |
| 1962653592 | David F Elliott | Dentist | 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 | 2008-10-01 |
| 1770637225 | David Michael Elliott | Dentist | 10205 Taylorsville Rd, Louisville, KY 40299-3624 | 2007-01-22 |
| 1316098882 | David Andrew Elliott | Chiropractor | 410 N Forrest, Apache, OK 73006-9392 | 2007-01-13 |
| 1194884007 | David S Elliott | Psychologist | 501 Angell St., Providence, RI 02906 | 2006-12-06 |
| 1528158045 | David Owen Elliott | Pediatrics | 1218 West Dixie Ave, B, Leesburg, FL 34748 | 2006-10-13 |
| 1548246499 | David Horace Elliott II | Dentist | 233 Allen St, Belhaven, NC 27810-1405 | 2005-12-21 |
| 1811986581 | David A Elliott | Internal Medicine | 622 Se Central Pkwy, Stuart, FL 34994-3970 | 2005-10-17 |
| 1497753008 | David K Elliott | Podiatrist | 20 South Ave, Tallmadge, OH 44278-2802 | 2005-07-08 |
| Street Address |
105 MILLS AVE STE 300 |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003973397 | G. Michael Lopez | Internal Medicine | 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169 | 2007-01-03 |
| 1912337353 | G Michael Lopez, M.d. | Nurse Practitioner | 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169 | 2013-11-21 |
| 1942630637 | David H Elliott, M.d. | Nurse Practitioner | 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169 | 2013-11-18 |
| 1891925848 | G Michael Lopez | Physician Assistant | 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169 | 2009-07-23 |
| 1649408121 | David Elliott | Physician Assistant | 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Find all providers in LAS VEGAS | ||||
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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.