RYAN BURNS ELLIOTT (NPI# 1134530959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134530959 |
| Entity Type | Individual |
| Full Name | RYAN BURNS ELLIOTT |
| Credential | M.D. |
| Practice Address |
2201 S Clear Creek Rd Killeen TX 76549-4110 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2545267523 |
| Practice Fax Number | 2547248572 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
S6169 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
S6169 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 2547242111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710006515 | Ryan M. Elliott | Counselor | 2055 Garrett Way, Suite 1, Pocatello, ID 83201-5100 | 2007-03-29 |
| 1811057771 | Ryan Lee Elliott | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-11 |
| Street Address |
2201 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107141 | Hector J Castro | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2005-07-12 |
| 1487265831 | Joanna Moldenhauer | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1184234619 | Rebecca Joy Rubio | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1619539145 | Jillian Christine Hudson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-07-04 |
| 1215491717 | Nina Marie Wilson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-01-29 |
| 1568946960 | Jordan Yuen | Occupational Therapist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-09-20 |
| 1215418280 | Emergency Associates of Central Texas Pa | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-08-27 |
| 1386132942 | Alexandra Hung | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549 | 2018-04-28 |
| 1114453693 | Austin Charles Miller | Hospitalist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-05-03 |
| 1225579956 | Pamela Roy-kondepati | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| 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. |
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|---|---|---|---|---|
| 1588290340 | Mission Vascular Specialists Corp | Radiology | 718 Lexington Ave Fl 1, San Antonio, TX 78212-4768 | 2020-03-12 |
| 1568095891 | Interventional Partners LLC | Radiology | 4323 N Josey Ln Ste 200, Carrollton, TX 75010-4619 | 2020-02-14 |
| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
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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.