DR. MARY CATHERINE ELLIOTT


Address: 3613 Quail Ct, Melbourne, FL 32904-9517
Phone: 3217952604

DR. MARY CATHERINE ELLIOTT (NPI# 1417277831) 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) 1417277831
Entity Type Individual
Full Name DR. MARY CATHERINE ELLIOTT
Credential MD
Practice Address 3613 Quail Ct
Melbourne
FL 32904-9517
Practice Telephone 3217952604
Mailing Telephone 3217952604
Enumeration Date 2010-06-08
Last Update Date 2010-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
ME0070262 FL Allopathic & Osteopathic Physicians

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1184224503 Mary E Elliott Pharmacist 6660 Godfrey Rd, Godfrey, IL 62035-2219 2020-10-26
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1912517368 Mary Elliott Pharmacist 200 Emily Dr, Clarksburg, WV 26301-5500 2020-07-31
1316395312 Mary June Elliott Dentist 3400 W Truman Blvd, Jefferson City, MO 65109-5712 2016-05-31

Office Location

Street Address 3613 QUAIL CT
City MELBOURNE
State FL
Zip Code 32904-9517

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063066512 Shepherd's Heart Ministries Counselor 900 S Wickham Rd, Melbourne, FL 32904 2019-08-01
1588138663 Nicholle C Rothengass Physician Assistant 2263 W New Haven Ave # 350, W Melbourne, FL 32904 2019-01-11
1114407020 Natalie Havkin Speech-Language Pathologist 250 S Wickham Rd., Melbourne, FL 32904 2018-08-20
1184119299 Marni B Simon Speech-Language Pathologist 565 Acacia Ave, Melbourne Village, FL 32904 2018-06-30
1821588625 Walden Psychological Services, LLC Psychologist 3400 Willowwood Dr, Melbourne, FL 32904 2018-05-16
1598276271 Donetta Gwin Reynolds Early Intervention Provider Agency 764 Triples Crown Lane, West Melbourne, FL 32904 2017-10-20
1598205221 Marathon Health, LLC General Practice 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 2017-02-28
1366875387 Cancer Center of Melbourne LLC Clinic/Center 415 S. Wickham Rd., Melbourne, FL 32904 2013-08-13
1558704312 Sandra Suzanne Borthwick Social Worker 569 Sylvia Rd, Melbourne, FL 32904 2013-04-11
1396983607 Genesis Skilled Nursing Facility 2653 Reflections Pl, W. Melbourne, FL 32904 2009-01-23
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780108787 Meghan Ashley Simon Physical Medicine & Rehabilitation 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 2017-08-01
1336684182 Florida Pain & Rehabilitation Institute Inc Physical Medicine & Rehabilitation 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 2017-01-04
1518135888 Sherin Kamal Fetouh Physical Medicine & Rehabilitation 307 E New Haven Ave, Melbourne, FL 32901-4576 2008-02-20
1366463226 Jay E. Olsson, D.o., P.a. Physical Medicine & Rehabilitation 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2006-07-23
1023041001 Loggerhead Medical LLC Physical Medicine & Rehabilitation 307 E New Haven Ave, Melbourne, FL 32901-4576 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477161214 Radius Medical Center LLC Physical Medicine & Rehabilitation 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 2020-07-17
1912460874 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 2019-04-08
1508320342 Grigory Pogrebinsky Md Pa Physical Medicine & Rehabilitation 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 2019-01-25
1235611815 Peter Danger Molina Physical Medicine & Rehabilitation 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 2018-08-30
1497246540 Restore Medical Partners Pllc Physical Medicine & Rehabilitation 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 2018-05-24
1568952240 South Florida Physical Medicine and Rehabilitation Center LLC Physical Medicine & Rehabilitation 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 2018-05-17
1235641655 Boca Pain Care, Inc Physical Medicine & Rehabilitation 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 2017-10-25
1558870477 Pain Control Solutions II LLC Physical Medicine & Rehabilitation 8323 Nw 12th Street, Suite 115, Miami, FL 33126 2017-09-22
1245759851 Chelsea Hakeem Physical Medicine & Rehabilitation 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 2017-09-14
1508384165 Destiny Therapy Center Inc Physical Medicine & Rehabilitation 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 2017-09-05
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Competitor

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City MELBOURNE
Zip Code 32904

Improve Information

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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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