MR. SEAN C ELLIOTT


Address: 1600 State St, Salem, OR 97301
Phone: 5035406300

MR. SEAN C ELLIOTT (NPI# 1528267374) 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) 1528267374
Entity Type Individual
Full Name MR. SEAN C ELLIOTT
Credential ANP
Practice Address 1600 State St
Salem
OR 97301
Mailing Address 1600 State St
Salem
OR 97301-4257
Practice Telephone 5035406300
Practice Fax Number 5035406404
Mailing Telephone 5035406300
Mailing Fax Number 5035406404
Enumeration Date 2007-07-12
Last Update Date 2019-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 200650057NP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 State St, Salem, OR 97301 5035406300 5035406404
5825 Shoreview Ln N, Keizer, OR 973033978 5035406471 5035406404

Other Providers SEAN ELLIOTT

NPI Name Taxonomy Address Enumeration
1861435943 Sean Patrick Elliott Urology 420 Delaware St Se, Mmc 394, University of Minnesota Physicians, Minneapolis, MN 55455 2006-06-14
1740691617 Sean Elliott Pharmacist 100 Emancipation Dr, Hampton, VA 23667-0001 2014-05-14
1518930627 Sean Patrick Elliott Pediatrics 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 2006-02-09
1134124076 Sean L Elliott Anesthesiology 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 2005-06-16

Office Location

Street Address 1600 STATE ST
City SALEM
State OR
Zip Code 97301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740278969 John J Coen Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2005-10-11
1033710843 Clarissa Freeman Physical Therapist 1600 State St, Salem, OR 97301-4257 2020-11-06
1760026785 Jesse Wright Physician Assistant 1600 State St, Salem, OR 97301-4257 2019-11-01
1508400979 Robert William Dolan Physician Assistant 1600 State St, Salem, OR 97301-4257 2019-10-29
1780179523 Michael Alexander Valdez Physician Assistant 1600 State St, Salem, OR 97301-4257 2018-06-25
1306394317 Lawrence Michael Dimacali Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-19
1942757224 Rebecca Theisen Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-05
1942650825 Thomas Mcgrath Physical Therapist 1600 State St, Salem, OR 97301-4257 2016-06-21
1932595600 Alana Ryan Family Medicine 1600 State St, Salem, OR 97301 2015-04-09
1972909661 Suzanne Michelle Nerli Physician Assistant 1600 State St, Salem, OR 97301-4257 2014-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134759012 Caleb James Calder Nurse Practitioner 11 Oakland St, Salem, MA 01970-1520 2020-01-20
1467928184 Jean David Thomas Nurse Practitioner Salem Family Health Center, 47 Congress Street, Salem, MA 01970 2018-10-20
1407371388 Debra Lee Jenkins Nurse Practitioner 1905 Mcvitty Rd, Salem, VA 24153-7405 2017-08-11
1003282310 Rachell Renee Davis Nurse Practitioner 1793 13th St. Se, Salem, OR 97302 2015-08-20
1194108365 Danielle Marlene Dupuis Nurse Practitioner 810 Commercial St Se, Salem, OR 97302 2015-07-06
1306272471 Josh Hooton Nurse Practitioner 251 W State Road 198 Ste 3, Salem, UT 84653-5608 2013-09-20
1104082197 Richard Fredrick Meyers Nurse Practitioner 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 2008-07-30
1831398122 Karlen E Luthy Nurse Practitioner 118 N Main St Ste B, Salem, UT 84653-5698 2007-07-16
1174603401 Anthony G Haralabatos Nurse Practitioner 59 Stiles Rd 104, Salem, NH 03079-5816 2006-10-17
1457378044 Robert M Wilkinson Nurse Practitioner 141 Hospital Dr Ste 103, Salem, KY 42078-8043 2006-07-17
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Competitor

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City SALEM
Zip Code 97301

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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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