J CHARLES ELLIOTT (NPI# 1841299617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841299617 |
| Entity Type | Individual |
| Full Name | J CHARLES ELLIOTT |
| Credential | PA |
| Practice Address |
416 S Creyts Rd Lansing MI 48917-8290 |
| Practice Telephone | 5178860333 |
| Practice Fax Number | 5178862072 |
| Mailing Telephone | 5178860333 |
| Mailing Fax Number | 5178862072 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003585 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518394196 | J Carol Elliott | Registered Nurse | 5664 Sw 60th Ave, Ocala, FL 34474 | 2013-09-27 |
| 1487853560 | J Maxie Elliott | Psychologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2007-07-17 |
| Street Address |
416 S CREYTS RD |
| City | LANSING |
| State | MI |
| Zip Code | 48917-8290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760938302 | Cameron Freund | Physical Therapist | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2016-09-01 |
| 1265879837 | Laura Marie Parent | Physical Therapist | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2013-05-23 |
| 1093899510 | Mid-michigan Dermatology, Pllc | Dermatology | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2006-10-24 |
| 1841222775 | Ronald C Miller | Dermatology | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2006-07-07 |
| 1710910641 | Sherren M White | Physician Assistant | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2006-07-07 |
| 1447289285 | Mark E Hatch | Dermatology | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2006-07-02 |
| 1275570186 | Exclusive Physical Therapy Inc | Physical Therapist | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 | 2006-05-31 |
| 1285635482 | Scott Benjamin | Physical Therapist | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 | 2005-08-10 |
| 1184625576 | John Kolar | Physical Therapist | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144479148 | Michelle Gormas | Physician Assistant | 2722 E Michigan Ave, Lansing, MI 48912-4037 | 2008-09-15 |
| 1093979270 | Denise Michelle Burroughs | Physician Assistant | 5135 S Penn Ave, Lansing, MI 48911-4002 | 2008-07-16 |
| 1366580417 | George Roland Over | Physician Assistant | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-02-01 |
| 1831278092 | Anne Margaret Teremi | Physician Assistant | 4202 Collins Rd, Suite 115, Lansing, MI 48910-5894 | 2006-11-06 |
| 1700832987 | Kellie Marie Wells | Physician Assistant | 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897 | 2006-05-26 |
| 1780648667 | Walter Herbert Grumbt | Physician Assistant | 129 Brookwood Ct, Lansing, KS 66043-1557 | 2006-04-17 |
| 1013568500 | Elizabeth K Holsclaw | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-25 |
| 1194288720 | Adriana Maria Ledesma | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-04-10 |
| 1043745730 | Degara App Hm, Pllc | Physician Assistant | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2017-05-01 |
| 1770018269 | Kaitlyn Haley Kimmel | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2017-04-22 |
| Find all providers in LANSING | ||||
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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.