DR. DOUGLAS E. ELLIOTT (NPI# 1073558318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073558318 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS E. ELLIOTT |
| Credential | M.D. |
| Practice Address |
500 S University Ave Suite 600 Little Rock AR 72205-5302 |
| Mailing Address |
500 S University Ave Suite 101 Little Rock AR 72205-5302 |
| Practice Telephone | 5016643914 |
| Practice Fax Number | 5016645246 |
| Mailing Telephone | 5016643914 |
| Mailing Fax Number | 5016645246 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
E-3647 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| QUALCHOICE PROVIDER NUM. | 03050014702 | 01 | |
| OK | 200010760A | 05 | |
| AR | 149708001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275794463 | Douglas J. Elliott | Dentist | 27 Loop Rd, Merrimack, NH 03054-3659 | 2008-06-19 |
| 1699932970 | Douglas K Elliott | Physical Therapist | 426 E 162nd St, South Holland, IL 60473-2258 | 2008-05-22 |
| 1144361486 | Douglas R Elliott | Surgery | 407 S White St, Suite 103, Mount Pleasant, IA 52641-2262 | 2007-02-09 |
| Street Address |
500 S UNIVERSITY AVE SUITE 600 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618318 | Tammy Lea Dunn | Specialist | 500 S University Ave, Ste 606, Little Rock, AR 72205-5342 | 2005-05-31 |
| 1043843915 | Jeff Pinto | Nurse Practitioner | 500 S University Ave, Little Rock, AR 72205-5302 | 2020-02-19 |
| 1821534835 | Brittney Denell Lisenbey | Nurse Practitioner | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2017-01-13 |
| 1245687029 | Arkansas Breast Surgery Corp. | Surgery | 500 S University Ave, Suite 219, Little Rock, AR 72205-5302 | 2016-05-20 |
| 1497128722 | Alexandra Blue Gonzalez | Physician Assistant | 500 S University Ave, Little Rock Dermatology Clinic Suite 301, Little Rock, AR 72205-5302 | 2015-11-09 |
| 1609251842 | Pediatric Physicians Group, Pllc | Pediatrics | 500 S University Ave, Suite 200, Little Rock, AR 72205-5302 | 2015-07-29 |
| 1609260157 | Gabriel M Peal M.d,.,pa | Specialist | 500 S University Ave, Suite 221, Little Rock, AR 72205-5302 | 2015-03-23 |
| 1376947804 | Blood and Cancer Institute of Little Rock | Clinical Medical Laboratory | 500 S University Ave, Suite 808, Little Rock, AR 72205-5302 | 2014-10-13 |
| 1457765182 | Jena Gray | Registered Nurse | 500 S University Ave, Suite 505, Little Rock, AR 72205-5302 | 2014-06-20 |
| 1952723397 | Jesse Davis | Registered Nurse | 500 S University Ave, Ste 505, Little Rock, AR 72205-5302 | 2014-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215028188 | William Combs Culp | Radiology | 4301 W Markham # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1679527642 | Edward E Angtuaco | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205 | 2006-05-22 |
| 1194779991 | Charles T Burke | Radiology | 9601 Lile Drive, Suite 1100, Little Rock, AR 72205-6333 | 2006-05-19 |
| 1629617857 | Sarah Michelle Lindsey | Radiology | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-01-06 |
| 1225370810 | Erin E Priddy | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2013-03-21 |
| 1891051611 | Edgar St. Amour | Radiology | 8901 Carti Way, Little Rock, AR 72205-6523 | 2012-04-05 |
| 1174816235 | Joseph Steven Konrad | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2011-05-24 |
| 1548552037 | William Joseph Meek | Radiology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2011-05-03 |
| 1265759864 | Megan Chang | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2010-04-23 |
| 1265757918 | David Sharpe Heister | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2010-04-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. DOUGLAS E. ELLIOTT.
| 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.