DUSTIN RAY ELK (NPI# 1710345038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710345038 |
| Entity Type | Individual |
| Full Name | DUSTIN RAY ELK |
| Credential | NP |
| Practice Address |
920 N Center St Bonham TX 75418-3751 |
| Mailing Address |
Po Box 1908 Greenville TX 75403-1908 |
| Practice Telephone | 9065836155 |
| Practice Fax Number | 9035833158 |
| Mailing Telephone | 9035836155 |
| Mailing Fax Number | 9035833158 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130074 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
920 N CENTER ST |
| City | BONHAM |
| State | TX |
| Zip Code | 75418-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607723 | Community Health Service Agency, Inc. | Clinic/Center | 920 N Center St, Bonham, TX 75418-3751 | 2005-11-29 |
| 1154880789 | Benjamin Hanssen | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2019-03-13 |
| 1568619229 | Lisa Brittmon | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2008-08-25 |
| 1659472330 | Eric Jeffrey Williams | Family Medicine | 920 N Center St, Bonham, TX 75418-3751 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| Find all providers in zip 75418 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911414 | Lillie Heidari Bigvand | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2019-06-20 |
| 1154880789 | Benjamin Hanssen | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2019-03-13 |
| 1568619229 | Lisa Brittmon | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2008-08-25 |
| 1396708624 | Nancy Gray Cook | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.