MARK A ELLIOTT (NPI# 1184619744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184619744 |
| Entity Type | Individual |
| Full Name | MARK A ELLIOTT |
| Credential | M.D. |
| Practice Address |
1200 Sixth St Suite 200 Traverse City MI 49684-2369 |
| Mailing Address |
2894 Momentum Pl Chicago IL 60689-5328 |
| Practice Telephone | 2319355800 |
| Practice Fax Number | 2319355799 |
| Mailing Telephone | (231) 935-6080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301048994 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2995933 | 05 |
| 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 |
| 1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
| 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 |
| Street Address |
1200 SIXTH ST SUITE 200 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522429 | Steven T Mast | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2005-07-19 |
| 1457913337 | Hannah M Popa | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2019-07-01 |
| 1396106266 | Edward Kraska | Nurse Practitioner | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2016-03-18 |
| 1386000370 | Michelle Strange | Physician Assistant | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2016-01-07 |
| 1295153062 | Barbara Rogers | Obstetrics & Gynecology | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2014-03-31 |
| 1033458534 | Meghan J Visnick | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2013-02-05 |
| 1942552559 | Grand Traverse Womens Clinic | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2012-10-05 |
| 1427308626 | Sarah K Torres | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2012-09-14 |
| 1992081640 | Regents of The University of Michigan | Pediatrics | 1200 Sixth St, Suite 100, Traverse City, MI 49684-2369 | 2011-10-26 |
| 1821398322 | Munson Medical Group | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2010-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245497858 | Northwest Michigan Heart & Vascular Specialists | Internal Medicine | 3529 W Front St, Suite B, Traverse City, MI 49684-9689 | 2008-05-21 |
| 1568457174 | John E. Raftery | Internal Medicine | 1200 6th St, Traverse City, MI 49684-2369 | 2005-09-20 |
| 1508851155 | Michael E Schulte | Internal Medicine | 1200 6th St Ste 200, Traverse City, MI 49684-2369 | 2005-09-20 |
| 1063407799 | Brian D Jaffe | Internal Medicine | 1200 Sixth St Ste 200, Traverse City, MI 49684-2369 | 2005-09-19 |
| 1174522429 | Steven T Mast | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2005-07-19 |
| 1821398322 | Munson Medical Group | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2010-10-30 |
| 1730343583 | Kristen N. Maurice | Internal Medicine | 1200 Sixth St Ste 200, Traverse City, MI 49684-2369 | 2008-07-10 |
| 1114127198 | Michael Howe | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2007-07-19 |
| 1144433277 | Todd R Adams | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2007-05-07 |
| 1295873388 | Nicklaus Karwas Slocum | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2007-02-02 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MARK A 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.