MR. JOHN DANIEL ELLIOTT


Address: 1134 N. Road St., Building #7, Elizabeth City, NC 27909
Phone: 2523842360

MR. JOHN DANIEL ELLIOTT (NPI# 1326039454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326039454
Entity Type Individual
Full Name MR. JOHN DANIEL ELLIOTT
Credential D.O.
Practice Address 1134 N. Road St.
Building #7
Elizabeth City
NC 27909
Practice Telephone 2523842360
Practice Fax Number 2523842359
Mailing Telephone 2523842360
Mailing Fax Number 2523842359
Enumeration Date 2005-10-28
Last Update Date 2016-02-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 2012-0192 NC Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
2012-01920 NC Allopathic & Osteopathic Physicians

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Office Location

Street Address 1134 N. ROAD ST.
BUILDING #7
City ELIZABETH CITY
State NC
Zip Code 27909

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482177 Leslie Treherne-fayton Dds Pllc Dentist 3875 Conlon Way Ste A, Elizabeth City, NC 27909 2020-03-13
1053829077 Kaitlyn Daniels Counselor 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 2018-01-11
1487183778 Traniqua Mccullen Social Worker 314 Orchard Drive, Elizabeth City, NC 27909 2017-06-08
1760938401 Lauren Noele Schaefer Physical Therapist 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 2016-09-01
1588023279 Regina Mccoy Nurse Practitioner 1507 N Road St Ste 3, Elizabeth City, NC 27909 2016-02-23
1750753760 Mark C. ''chris'' Patterson Physician Assistant Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 2015-10-29
1770963365 Harlan Bradley Hurdle Pharmacist 104 Breezewood Drive, Elizabeth City, NC 27909 2015-06-09
1558779298 Wilkiam Wilson Counselor 1290 Halstead Blvd, Elizabeth City, NC 27909 2014-07-25
1871919886 Courtney Bunch Specialist/Technologist 1680 Cedar Point Circle, Elizabeth City, NC 27909 2014-03-14
1790100832 The Power of U Community/Behavioral Health 1023 Us17s Suite 1, Elizabeth City, NC 27909 2014-02-26
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1730561655 Brendan Jay Michel Family Medicine 437 Little Fisher Trl, Mount Airy, NC 27030-6900 2015-06-27
1699179804 Carolinas Physicians Network Inc Family Medicine 48380 Us Highway 52 N, Misenheimer, NC 28109 2014-10-17
1548509805 Carolinas Physician Network, Inc. Family Medicine 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 2013-02-06
1699903211 Robert Alcott Family Medicine 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 2009-06-23
1962637926 Thomas Joseph Thekkekandam Family Medicine 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 2009-05-20
1477738714 Forsyth Medical Group, LLC. Family Medicine 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 2008-01-07
1396938171 Lawrence M Linett, Md, Pllc Family Medicine 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 2007-08-24
1962536516 Richard T. Ferro Family Medicine 6832 Market St, Suite A, Wilmington, NC 28405-9723 2007-03-15
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Competitor

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City ELIZABETH CITY
Zip Code 27909

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Dataset Information

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.

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