BILLY MERRILL ELLIOTT III (NPI# 1790243293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790243293 |
| Entity Type | Individual |
| Full Name | BILLY MERRILL ELLIOTT III |
| Practice Address |
3625 University Blvd S Jacksonville FL 32216-4207 |
| Mailing Address |
11692 Tanager Dr Jacksonville FL 32225-2570 |
| Practice Telephone | 9047026089 |
| Mailing Telephone | 9046548294 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 525082 | FL | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427229277 | Billy R Elliott | Physician Assistant | 1 S Keene St, Columbia, MO 65201-7199 | 2008-03-20 |
| Street Address |
3625 UNIVERSITY BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664395 | Karen Elizabeth Anderson | Anesthesiology | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2005-07-22 |
| 1174122071 | Deleah Rene Pickler | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-10-21 |
| 1801401641 | Kara N Cordova | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2020-09-09 |
| 1174153654 | Marina Follick | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-01-23 |
| 1649818337 | Sarah Chapman Farris | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-13 |
| 1487291837 | Lee Willingham | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-04 |
| 1609411586 | Kyle Steven Scott | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-11-14 |
| 1982246328 | Amy Marie Suralis | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-10-16 |
| 1396391991 | Sarah Siebrandt | Occupational Therapist | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-08-11 |
| 1790347979 | Leda Hansen | Nurse Practitioner | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780851329 | Mark Edward Rowley | Emergency Medical Technician, Paramedic | 515 N Julia St, Jacksonville, FL 32202-4128 | 2008-05-13 |
| 1609847292 | Tisha Gallanter | Emergency Medical Technician, Paramedic | 655 W 8th St, Jacksonville, FL 32209-6511 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154047 | Richard James Valentine | Emergency Medical Technician, Paramedic | 2712 Miracle Pkwy, Cape Coral, FL 33914-3801 | 2020-08-14 |
| 1265057756 | Michael Enrique Mejia | Emergency Medical Technician, Paramedic | 1 Jeff Fuqua Blvd, Orlando, FL 32827-4392 | 2020-06-10 |
| 1932723012 | Dustin Comer | Emergency Medical Technician, Paramedic | 5855 Cargo Rd, Orlando, FL 32827-4349 | 2020-06-03 |
| 1528682010 | Symone Hawes | Emergency Medical Technician, Paramedic | 2566 Nw 86th Ave, Coral Springs, FL 33065-5338 | 2020-06-01 |
| 1396369989 | Andrew Finkley | Emergency Medical Technician, Paramedic | 2801 2nd Ave S, Saint Petersburg, FL 33712-1003 | 2020-05-30 |
| 1538709670 | Daniel James Hages II | Emergency Medical Technician, Paramedic | 6804 120th Pl, Largo, FL 33773-3513 | 2020-01-07 |
| 1619531464 | Estefany Laura Duarte | Emergency Medical Technician, Paramedic | 8565 Nw 5th Ter Apt 1403, Miami, FL 33126-3885 | 2019-04-26 |
| 1518481886 | Merrill Camel | Emergency Medical Technician, Paramedic | 8445 Sw 185th St, Cutler Bay, FL 33157-7237 | 2017-07-28 |
| 1265965008 | David Charles Ellner | Emergency Medical Technician, Paramedic | 410 Sixth Avenue East, Rm # 123-b, Bradenton, FL 34208-1928 | 2017-04-08 |
| 1881046340 | Christian Heskestad | Emergency Medical Technician, Paramedic | 1465 Ne 121st St, Apt 514, North Miami, FL 33161-6540 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.