ROBERT ELLIOTT (NPI# 1881058295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881058295 |
| Entity Type | Individual |
| Full Name | ROBERT ELLIOTT |
| Credential | D.O. |
| Practice Address |
5333 Mcauley Drive, Suite 4001 Ypsilanti MI 48197-8633 |
| Mailing Address |
2398 Twin Lakes Dr Ypsilanti MI 48197-1491 |
| Practice Telephone | 7347123980 |
| Mailing Telephone | 2489417347 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427511393 | Robert Parker Elliott | Occupational Therapist | 11249 Shelterwood Ln, Dallas, TX 75229-4357 | 2019-04-09 |
| 1699270355 | Robert Troy Elliott | Student in an Organized Health Care Education/Training Program | 1150 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4872 | 2018-03-26 |
| 1942479746 | Robert Michael Elliott | Dermatology | 3001 E Tahquitz Canyon Way Ste 104, Palm Springs, CA 92262-6900 | 2008-02-26 |
| 1396889861 | Robert Turnbull Elliott | Psychiatry & Neurology | Tufts House, 2004 Ridgewood Dr, Suite 218, Atlanta, GA 30322-0001 | 2007-02-17 |
| 1093860769 | Robert Charles Elliott | Dentist | 101 Sundial Dr Ste A, Woodland Park, CO 80863-7769 | 2007-01-24 |
| 1689725574 | Robert William Elliott | Clinical Neuropsychologist | 5777 W Century Blvd Ste 1645b, Los Angeles, CA 90045-5696 | 2007-01-16 |
| 1407943236 | Robert D. Elliott | Dentist | 540 New Waverly Pl, Suite 300, Cary, NC 27518-7421 | 2006-10-05 |
| 1417975657 | Robert M Elliott | Chiropractor | 5700 Watkins St, Ooltewah, TN 37363-7811 | 2006-07-17 |
| 1346276334 | Robert Larry Elliott | Surgery | 1600 W. College, Suite 440, Grapevine, TX 76051-3584 | 2006-06-23 |
| 1750326799 | Robert M Elliott | Family Medicine | 415 W Kilpatrick St, Mineola, TX 75773-2032 | 2006-06-16 |
| Street Address |
5333 MCAULEY DRIVE, SUITE 4001 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033476189 | Kashyap Babubhai Patel | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Academic Internal Medicine, Ypsilanti, MI 48197-8633 | 2012-04-13 |
| 1235768508 | Gita Sabhapathy | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-04-07 |
| 1376040584 | Melissa Ann Levoska | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2018-04-13 |
| 1225560576 | Olivia Killeen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2017-03-28 |
| 1265963805 | Khaled M Darwesh | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2017-03-24 |
| 1982068326 | Scott Burner | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1548878390 | Mobina Shrestha | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Academic Internal Medicine Clinic, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-07-17 |
| 1790313849 | Cynthia Elizabeth Tetreault | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2120, Ypsilanti, MI 48197-8633 | 2020-04-01 |
| 1144861527 | Naiomi C Wilson | Student in an Organized Health Care Education/Training Program | 4910 Sycamore Dr, Ypsilanti, MI 48197-6107 | 2019-10-07 |
| 1881157311 | Tobias Philip Keeney-bonthrone | Student in an Organized Health Care Education/Training Program | Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633 | 2019-04-11 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1912499104 | Zachary Michael Vigliotti | Student in an Organized Health Care Education/Training Program | 413 W Forest Ave Apt 5, Ypsilanti, MI 48197-8141 | 2018-06-04 |
| 1134625585 | Carter Burson Anderson | Student in an Organized Health Care Education/Training Program | Academic Ob/gyn Clinic, 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2018-04-04 |
| 1841795556 | Ann Elizabeth Hutchison | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2115, Ypsilanti, MI 48197-1097 | 2018-03-26 |
| 1720582794 | Angela Miciura | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2215, Ypsilanti, MI 48197-1097 | 2018-03-22 |
| Find all providers in YPSILANTI | ||||
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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.