ERIK BRIAN ELLER (NPI# 1417113036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417113036 |
| Entity Type | Individual |
| Full Name | ERIK BRIAN ELLER |
| Credential | MD |
| Practice Address |
26750 Providence Pkwy Ste 200 Novi MI 48374-1212 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 4301102107 | MI | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | 4301102107 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
4301102107 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE RAILROAD | PO1223793 | 01 |
| Street Address |
26750 PROVIDENCE PKWY STE 200 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1851941462 | Lisa Sue Hoatlin | Occupational Therapist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2019-09-16 |
| 1699292698 | Jesse Ray Steenwyk | Specialist/Technologist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2017-08-29 |
| 1336598283 | James Allen Hyland | Physician Assistant | 26750 Providence Pkwy, # 220, Novi, MI 48374-1211 | 2016-06-10 |
| 1225430929 | Carol R. Grimmer | Nurse Practitioner | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2014-09-24 |
| 1053758391 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1211 | 2013-05-28 |
| 1902101520 | Vhs Physicians of Michigan | Orthopaedic Surgery | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2011-01-12 |
| 1609006279 | William K. Kesto | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2009-07-17 |
| 1144457102 | Associated Podiatrists,pc | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2009-06-17 |
| 1427210038 | Eric Austin Neal | Physical Therapist | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1211 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999339 | Christopher N Zingas | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-04 |
| 1952822132 | Damian Joseph Hilbert | Orthopaedic Surgery | 33155 Annapolis St, Wayne, MI 48184-2405 | 2017-06-28 |
| 1902218191 | Michael Swords, Do, Pllc | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2014-05-22 |
| 1861752768 | Sean A. Matuszak Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2012-05-24 |
| 1073834339 | Cameron Patthanacharoenphon | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2010-06-21 |
| 1437374931 | Andrew Moore | Orthopaedic Surgery | 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 | 2007-04-17 |
| 1740382183 | Sjmh Medical Practice | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2006-09-05 |
| 1942224894 | Norman J Licht | Orthopaedic Surgery | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| 1669422077 | John D Maskill | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525 | 2006-05-10 |
| 1972551836 | Robert M Mihalich | Orthopaedic Surgery | 2305 Genoa Business Park Dr, #170, Brighton, MI 48114-7004 | 2006-05-04 |
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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.