RICHARD LOWEN ELLIOTT (NPI# 1184708703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184708703 |
| Entity Type | Individual |
| Full Name | RICHARD LOWEN ELLIOTT |
| Credential | MD |
| Practice Address |
500 South 11th Ave Suite 206 Pocatello ID 83201 |
| Practice Telephone | 2082323480 |
| Practice Fax Number | 2082336585 |
| Mailing Telephone | 2082323480 |
| Mailing Fax Number | 2082336585 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | GFE9724 | CA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | M4909 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104059914 | Richard Levere Elliott | Specialist | 803 Opie Arnold Rd, Limestone, TN 37681-2431 | 2009-08-26 |
| 1881789352 | Richard Schindler Elliott | Family Medicine | 13640 North Plaza Del Rio Blvd., Peoria, AZ 85381 | 2006-10-03 |
| 1952492894 | Richard W Elliott | Chiropractor | 18598 W Main, Galliano, LA 70354 | 2006-09-27 |
| 1114569324 | Richard Elliott | Dietitian, Registered | 5203 Juan Tabo Blvd Ne Ste 2a, Albuquerque, NM 87111-2691 | 2019-10-09 |
| 1275199572 | Richard John Elliott II | Student in an Organized Health Care Education/Training Program | 765 Kenilworth Ter Ne, Washington, DC 20019-1898 | 2019-05-13 |
| 1568972503 | Richard Ryland Douglas Elliott | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-10-04 |
| 1861526832 | Richard Glenn Elliott | Dentist | 537 W Highlands Ranch Pkwy, Suite 105, Highlands Ranch, CO 80129-6954 | 2007-03-14 |
| 1558446559 | Richard L Elliott | Psychiatry & Neurology | 175 Emery Hwy, Macon, GA 31217-3692 | 2006-10-26 |
| 1164532065 | Richard Bryant Elliott | Physical Therapist | 2416 Constitution Avenue, Rehabilitation Today, Olean, NY 14760 | 2006-08-30 |
| 1417973348 | Richard Kirk Elliott | Internal Medicine | 3722 Dressler Rd Nw, Canton, OH 44718 | 2006-07-14 |
| Street Address |
500 SOUTH 11TH AVE SUITE 206 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895208 | Charles Pittman Lawless | Ophthalmology | 1777 East Clark Steet, Suite 310, Pocatello, ID 83201-3357 | 2006-03-20 |
| 1598750838 | John M Fornarotto | Ophthalmology | 246 N 18th Ave, Pocatello, ID 83201-3356 | 2005-09-13 |
| 1790838662 | John Fornarotto Pllc | Ophthalmology | 246 N 18th Ave, Pocatello, ID 83201-3356 | 2007-01-22 |
| 1912015330 | Robert Randall Jones Jr. | Ophthalmology | 1951 Bench Rd, #c, Pocatello, ID 83201 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1255678546 | John S Kundrat, Md Pa | Ophthalmology | 3316 4th St, Bldg 3, Lewiston, ID 83501-4405 | 2013-01-07 |
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1861727323 | Kyle Nathaniel Klingler | Ophthalmology | 1415 Parkview Dr., Twin Falls, ID 83301-3250 | 2009-10-15 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1881894517 | Joshua R Fullmer Md Pllc | Ophthalmology | 381 E 4th N Ste 100, Rexburg, ID 83440-1684 | 2007-07-20 |
| 1093911133 | Eye Clinic of Idaho Falls,pa | Ophthalmology | 530 S Holmes Ave, Idaho Falls, ID 83401-4751 | 2007-06-25 |
| 1942345228 | Alan Wallace Mcinnes Jr. | Ophthalmology | 323 E Riverside Dr, Suite 136, Eagle, Eagle, ID 83616-6865 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
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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.