ELLIOTT MEDICAL SERVICES, INC (NPI# 1831342906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831342906 |
| Entity Type | Organization |
| Organization Name | ELLIOTT MEDICAL SERVICES, INC |
| Practice Address |
122 E Eufaula St Norman OK 73069-6017 |
| Mailing Address |
3334 W Main St # 523 Norman OK 73072-4805 |
| Practice Telephone | 4056409085 |
| Practice Fax Number | 4053605607 |
| Mailing Telephone | 4056409085 |
| Mailing Fax Number | 4053605607 |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2008-11-02 |
| Authorized Official Name | DR. BOB ELLIOTT (PRESIDENT) |
| Authorized Official Telephone | 4056409085 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2366 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100106530 C | 05 |
| Street Address |
122 E EUFAULA ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891884110 | Communityworks, LLC | Community/Behavioral Health | 122 E Eufaula St, Norman, OK 73069-6017 | 2006-10-12 |
| 1043640691 | Donesha Willis | Case Manager/Care Coordinator | 122 E Eufaula St, Norman, OK 73069-6017 | 2013-11-18 |
| 1386982163 | Regan Green | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2013-01-29 |
| 1285999326 | Brooke Ashley Pendergraft | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2012-07-04 |
| 1144504143 | Kay Lynn Hale | Case Manager/Care Coordinator | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-10-10 |
| 1326327222 | James Anthony Sardis Jr. | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-08-09 |
| 1578857504 | Rashon Carruthers | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-06-07 |
| 1881985075 | David Johnson | Community/Behavioral Health | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-04-22 |
| 1871894030 | Tamara Michelle Davis | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2010-11-04 |
| 1962712760 | Christianne Michelle Pickens | Music Therapist | 122 E Eufaula St, Norman, OK 73069-6017 | 2010-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588086490 | Bruce Kevin Remy | General Practice | 1828 Cedar Hill Rd, Norman, OK 73072-3153 | 2014-01-11 |
| 1255529871 | Harold H Haralson II Md Inc | General Practice | 516 Avon Dr, Norman, OK 73072-3850 | 2007-10-09 |
| 1699961599 | Zoilo Venturina Marcelo | General Practice | 1829 Cedar Hill Rd, Norman, OK 73072-3161 | 2007-09-24 |
| 1972907178 | State of Oklahoma | General Practice | 900 E Main St, Norman, OK 73071-5305 | 2014-10-17 |
| 1043514151 | Kdf/mpk, Inc | General Practice | 2400 Palmer Cir, Norman, OK 73069-6301 | 2011-01-04 |
| 1417258989 | J.v. Simmering M.d. Inc. | General Practice | 1300 Mcgee Dr, Suite 101, Norman, OK 73072-5774 | 2010-11-15 |
| 1316271836 | Kyle R Judkins | General Practice | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2009-09-30 |
| 1548471048 | Vytautas Ringus | General Practice | 825 E Robinson St, Norman, OK 73071-6610 | 2007-05-25 |
| 1629292016 | Kenneth R Watson Do PC | General Practice | 2121 W Main St, Norman, OK 73069-6459 | 2007-04-13 |
| 1447233184 | Christopher Edge | General Practice | 500 E Robinson St, Suite 300, Norman, OK 73071-6697 | 2005-11-28 |
| Find all providers in NORMAN | ||||
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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.