DR. JAMES RANDALL ELLIOTT (NPI# 1124081971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124081971 |
Entity Type | Individual |
Full Name | DR. JAMES RANDALL ELLIOTT |
Credential | MD, MPH |
Practice Address |
95 Amds/sgp 55 N. Wolfe Ave. Edwards Afb CA 93524-0001 |
Practice Telephone | 6612771130 |
Practice Fax Number | 6612770688 |
Mailing Telephone | 6612771130 |
Mailing Fax Number | 6612770688 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
95-230 | NM | Allopathic & Osteopathic Physicians |
X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
95-230 | NM | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730507815 | James Elliott | Acupuncturist | 1549 S Galena Way Apt 1633, Denver, CO 80247-3137 | 2014-04-04 |
1992081103 | James Randolph Elliott | Social Worker | 615 Briarwood Ln, San Dimas, CA 91773-3608 | 2011-11-01 |
1326337767 | James G Elliott Jr. | Contractor | 12713 Lake Wilderness Ln, Spotsylvania, VA 22551-8122 | 2011-04-06 |
1598905119 | James Anthony Elliott | Social Worker | 1320 Fenwick Ln Ste 800, Silver Spring, MD 20910-3557 | 2009-02-22 |
1902069560 | James W. Elliott | Respiratory Therapist, Registered | 204 Interchange Dr, Fulton, MS 38843-6011 | 2008-07-03 |
1033316732 | James Michael Elliott Jr. | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112 | 2007-06-27 |
1336340959 | James D Elliott | Dentist | 603 W Green St, Winterset, IA 50273-1641 | 2007-05-30 |
1548304132 | James E Elliott | Dentist | 10 S Belvedere Blvd, Suite B, Memphis, TN 38104-3706 | 2007-02-16 |
1174688097 | James William Elliott | Optometrist | 10736 Laurel Ridge Rd, Ashland, KY 41102-8615 | 2006-12-22 |
1679633457 | James A Elliott | Dentist | 1003 Legacy Ranch Rd Ste 104, Waxahachie, TX 75165-1294 | 2006-12-11 |
Street Address |
95 AMDS/SGP 55 N. WOLFE AVE. |
City | EDWARDS AFB |
State | CA |
Zip Code | 93524-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114540499 | Nathaniel George Brown | Student in an Organized Health Care Education/Training Program | 412th Medical Group 30 Nightingale Rd., Building #5525, Edwards Air Force Base, CA 93524 | 2020-05-21 |
1265852396 | Wesley John Fischer | Pharmacist | 30 Nightengale Road, Edwards U.S. Air Force Base Pharmacy, Edwards, CA 93524 | 2014-04-16 |
1659567493 | Kevin Ray Hooker | Social Worker | 30 Nightingale Road, 5513, Lancaster, CA 93524 | 2007-09-14 |
1336655943 | Keith Janda | Physician Assistant | 95th Medical Group 30 Nightingale Road Building 5525, Edwards Afb, CA 93524-0001 | 2017-12-19 |
1598286049 | Mackenzie Johnson Clevenger | Pharmacist | 412 Mdg 30 Nightingale Rd, Edwards Afb, CA 93524-0001 | 2017-07-05 |
1245751460 | Brandon John Potters | Military Health Care Provider | Air Test and Evaluation Squadron Nine Rd 187 Rd, Edwards Afb, CA 93524-0001 | 2017-06-28 |
1003266073 | Meshva Akwalia | Pediatrics | 412 Medical Group 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524-0001 | 2016-06-20 |
1144613670 | Pang Ko | Dentist | 30 Nightingale Ave Building 5513, Edwards, CA 93524-0001 | 2015-03-09 |
1710293345 | Tonya Nicole Barry | Dentist | Bldg 3925, 31 Nightingale Rd, Edwards Afb, CA 93524-0001 | 2010-08-20 |
1265761340 | Shanda R. Marshall | Nurse Practitioner | 412 Th Medical Grouup, 30 Nightingale Road, Edwards, CA 93524-0001 | 2009-12-18 |
Find all providers in zip 93524 |
Taxonomy Code | 2083A0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Aerospace Medicine |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184149189 | Nguyen Vinh Toan Tran | Preventive Medicine | 3808 E Summitridge Ln, Orange, CA 92867-2122 | 2017-08-10 |
1144592098 | Joel Andrew Fulkerson | Preventive Medicine | Bldg 22190, Camp Pendleton, CA 92058-2111 | 2012-02-07 |
1427373398 | Gregg Alexander Bendrick | Preventive Medicine | 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 | 2010-04-02 |
1740437425 | Norman Franklin Seidenverg | Preventive Medicine | 2030 Airport Rd, Napa, CA 94558-6208 | 2008-08-25 |
1790830347 | Morton Leon Gubin | Preventive Medicine | 210 N El Cielo Rd, Palm Springs, CA 92262-6936 | 2007-01-24 |
1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
1932257094 | Timothy Renfrew Oeltmann | Preventive Medicine | Marine Aircraft Group 39, Medical, Camp Pendleton, CA 92055 | 2007-01-08 |
1750449294 | Sanatkumar Krishnaram Joshi | Preventive Medicine | 1485 Graeber Street, Suite 9 193 Medical Group, March Jarb, CA 92518-1620 | 2006-12-05 |
1184680365 | Yolanta Petrofsky | Preventive Medicine | 2470 Hilborn Road, Suite 110, Fairfield, CA 94534 | 2006-04-25 |
1831178334 | Louis George Gilleran | Preventive Medicine | 50 Rosecrans St, Swmi, Bldg 500 Naval Submarine Base San Diego, San Diego, CA 92106-4408 | 2006-01-12 |
Find all providers with the same taxonomy |
City | EDWARDS AFB |
Zip Code | 93524 |
Please comment or provide details below to improve the information on DR. JAMES RANDALL 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.