MR. MARK A ELLIOTT (NPI# 1043655442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043655442 |
| Entity Type | Individual |
| Full Name | MR. MARK A ELLIOTT |
| Practice Address |
10770 N 46th St Suite A - 400 Tampa FL 33617-3442 |
| Practice Telephone | 8137859404 |
| Practice Fax Number | 8132282857 |
| Mailing Telephone | 8137859404 |
| Mailing Fax Number | 8132282857 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634884 | Mark David Elliott | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2017-12-04 |
| 1386182624 | Mark Elliott | Behavior Technician | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2017-02-07 |
| 1750766671 | Mark Elliott | Social Worker | 1006 E 39th St, Austin, TX 78751-5207 | 2015-07-21 |
| 1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
| 1922441997 | Mark David Elliott | Psychiatry & Neurology | 13001 E 17th Pl Ste F546, Aurora, CO 80045 | 2013-04-09 |
| 1245593573 | Mark Elliott | Emergency Medicine | 7600 Beechnut St, Houston, TX 77074 | 2012-06-21 |
| 1780965558 | Mark O Elliott | Chiropractor | 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 | 2011-09-07 |
| 1396034559 | Mark Randall Elliott | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2011-03-28 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| 1174609424 | Mark Ryan Elliott | Specialist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-10-30 |
| Street Address |
10770 N 46TH ST SUITE A - 400 |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013979160 | Frank Andrew Kozel | Psychiatry & Neurology | 10770 N 46th St, Bld. E, Tampa, FL 33617-3442 | 2006-04-04 |
| 1538726468 | Paul Krabill | Optometrist | 10770 N 46th St, Tampa, FL 33617-3442 | 2019-05-27 |
| 1669967980 | Ashley Marie Mitchell | Student in an Organized Health Care Education/Training Program | 10770 N 46th St, Tampa, FL 33617-3442 | 2018-06-28 |
| 1154863967 | Patrick Belsan | Social Worker | 10770 N 46th St, Suite C-100, Tampa, FL 33617-3442 | 2016-11-10 |
| 1508318403 | Gary Carlson | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2016-10-27 |
| 1720486970 | Tampa Vamc | Clinic/Center | 10770 N 46th St, Suite 100, Tampa, FL 33617-3442 | 2014-12-19 |
| 1972908226 | Shenita Melvin | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2014-10-29 |
| 1043611817 | Pamela Bastiano | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2014-09-11 |
| 1083044002 | Karen Lynn Kelly | Registered Nurse | 10770 N 46th St, Tampa, FL 33617-3442 | 2013-11-13 |
| 1760731491 | Alyssa D Milton | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068229 | Grace Davila | Case Manager/Care Coordinator | 6107 Memorial Hwy Ste G, Tampa, FL 33615-4564 | 2019-08-14 |
| 1568015931 | Tiffany Green | Case Manager/Care Coordinator | 100 S. Ashley Drive, Suite 600, Tampa, FL 33602-3360 | 2019-07-24 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1306347729 | April Marie Syx | Case Manager/Care Coordinator | 15501 Bruce B Downs Blvd Apt 1109, Tampa, FL 33647-1306 | 2018-02-21 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1932626272 | Rogerick Green Sr. | Case Manager/Care Coordinator | 7853 Gunn Hwy # 133, Tampa, FL 33626-1611 | 2017-08-28 |
| 1609390129 | Tatiana Usova-lorenzo | Case Manager/Care Coordinator | 1220 S Dale Mabry Hwy Ste 201, Tampa, FL 33629-5019 | 2017-07-26 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1043745565 | Claudia Duran | Case Manager/Care Coordinator | 4001 W Dr Mlk Blvd, Tampa, FL 33614-7011 | 2017-04-21 |
| 1821547894 | Phyllis Thomas Powell | Case Manager/Care Coordinator | 1310 Four Seasons Blvd, Tampa, FL 33613-2326 | 2016-09-30 |
| Find all providers in TAMPA | ||||
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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.