David L Elliott (NPI# 1194733006, PAC ID# 0244224061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194733006 |
| PAC ID by PECOS | 0244224061 |
| Professional Enrollment ID | I20100325000625 |
| Full Name | David L Elliott |
| Organization Legal Name | TATUM RIDGE INTERNAL MEDICINE PLC |
| Address |
18404 N Tatum Blvd Suite 205 Phoenix AZ 85032-1509 |
| Phone Number | 6029715500 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6901890821 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 | 6029715500 | TATUM RIDGE INTERNAL MEDICINE PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 3% |
| Organization Legal Name | TATUM RIDGE INTERNAL MEDICINE PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence P Gassner | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Brian K Jorgensen | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Street Address |
18404 N TATUM BLVD SUITE 205 |
| City | PHOENIX |
| State | AZ |
| Zip | 85032-1509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip V Pileggi | Family Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Patrick M Knowles | Family Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Melanie Patton | Family Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Chance J Moyer | Physician Assistant | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Michael N Luong | Family Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Arash G Vishteh | Neurosurgery | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 | |
| Maciej Stanczak | Physician Assistant | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Alfredo L Lim | Internal Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Kandice Steiner Christian | Physician Assistant | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Vicki A Rogove | Emergency Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayurkumar D Bhakta | Interventional Cardiology | Scottsdale Healthcare Corp | 18404 N Tatum Blvd, Suite 201, Phoenix, AZ 85032-1508 |
| Ali E Wait | General Surgery | Scottsdale Healthcare Corp | 18404 N Tatum Blvd, Suite 201, Phoenix, AZ 85032-1508 |
| Lawrence P Gassner | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Brian K Jorgensen | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Ashley R Mitchell | Nurse Practitioner | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Luis M Irizarry | Family Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Purna Chettri | Family Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Shilpa Gujrathi | Family Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Alyssa Haspel Siegel | Nurse Practitioner | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Simrat Kaur | Geriatric Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Find all physicians in zip 85032 | |||
| City | PHOENIX |
| Zip Code | 85032 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHOENIX + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David L Elliott.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.