MRS. MARY F ELLIOTT (NPI# 1265779870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265779870 |
| Entity Type | Individual |
| Full Name | MRS. MARY F ELLIOTT |
| Other Name | MARY F KUNST |
| Credential | PA-C |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Ste 100 Midland TX 79701-5849 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 4326871949 |
| Practice Fax Number | 4326874251 |
| Mailing Telephone | (972) 997-8000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08197 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 314055003 | 05 | |
| TX | 314055004 | 05 | |
| TX | BCBS | 8561NJ | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 770304009 | 7137926161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1417277831 | Mary Catherine Elliott | Physical Medicine & Rehabilitation | 3613 Quail Ct, Melbourne, FL 32904-9517 | 2010-06-08 |
| 1700082914 | Mary Elizabeth Elliott | Licensed Practical Nurse | 160 Pacific St, Copiague, NY 11726-1222 | 2007-06-25 |
| 1073610937 | Mary Crane Elliott | Occupational Therapist | 5501 Tioga Rd Nw, Albuquerque, NM 87120-2350 | 2006-09-20 |
| 1700805405 | Mary Catherine Elliott | Family Medicine | 17050 Medical Center Dr Ste 400, Baton Rouge, LA 70816-3251 | 2006-07-19 |
| 1932101862 | Mary Rachel Elliott | Nurse Practitioner | 503 Muir St, Cambridge, MD 21613-1848 | 2005-08-11 |
| 1598766388 | Mary Beth Elliott | Nurse Anesthetist, Certified Registered | Country Club Road, Monongahela, PA 15063 | 2005-08-03 |
| 1184224503 | Mary E Elliott | Pharmacist | 6660 Godfrey Rd, Godfrey, IL 62035-2219 | 2020-10-26 |
| 1285245142 | Mary Frances Elliott | Homemaker | 103 W 5th Ave, Ranson, WV 25438-1405 | 2020-08-13 |
| 1912517368 | Mary Elliott | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-07-31 |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY STE 100 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073833075 | Phillip Hyunsuk Chae | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 100, Craddick Medical Office Bldg., Midland, TX 79701-5849 | 2010-06-02 |
| 1699192328 | Natalie Jean Yaklin | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 100, Midland, TX 79701-5849 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023679867 | Michael Daniel Howson | Physician Assistant | 2592 N Tamarack Dr, Midland, MI 48642-7888 | 2019-06-24 |
| 1952865057 | Morgan Elizabeth Sims | Physician Assistant | 4214 Andrews Hwy Ste 110, Midland, TX 79703-4864 | 2019-01-23 |
| 1811470867 | Catherine Rhea Randall | Physician Assistant | 4401 Campus Ridge Dr Ste 2040, Midland, MI 48640-6125 | 2018-09-14 |
| 1568973675 | Eric Lee Wright | Physician Assistant | 111 E Wackerly St Ste B, Midland, MI 48642-7043 | 2017-10-16 |
| 1861917718 | Megan Amanda Dawkins | Physician Assistant | 3501 W Illinois Ave, Midland, TX 79703-5606 | 2017-08-11 |
| 1215485719 | Midland Clinic Pllc | Physician Assistant | 801 Tradewinds Blvd, Ste B, Midland, TX 79706-0000 | 2016-09-14 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1386959039 | Lori R Benninghoff | Physician Assistant | 1900 W Wall, Suite A, Midland, TX 79701-6534 | 2010-08-18 |
| 1902124266 | Deeanna Emmalynn Kenny | Physician Assistant | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2010-05-12 |
| Find all providers in MIDLAND | ||||
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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.