Bert C Eliason (NPI# 1174513113, PAC ID# 0840205852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1174513113 |
PAC ID by PECOS | 0840205852 |
Professional Enrollment ID | I20120406000083 |
Full Name | Bert C Eliason |
Organization Legal Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
Address |
Four Corners Regional Health Ctr Us Hwy 160 and Navajo Route 35 Red Mesa Teecnospos AZ 86514 |
Phone Number | 9286565165 |
Gender | M |
Credential | MD |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1968 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 0749193837 |
Number of Group Practice Members | 159 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320059 | NORTHERN NAVAJO MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
Highway 491, Shiprock, NM 87420-0160 | 5053686050 | DHHS PHS NAIHS SHIPROCK HOSPITAL |
Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 | 9286565165 | DHHS PHS NAIHS SHIPROCK HOSPITAL |
Organization Legal Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
Physicians | 169 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary L Gitlin | Internal Medicine | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
Preyanka Makadia | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Navajo Route 19, Toadlena, NM 87324 |
Ralph Henry Smith | Physician Assistant | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Thomas Henry Nguyen Quattlebaum | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | 34 Navajo Rte, Sanostee, NM 87461 |
John Michael Balintona | Obstetrics/gynecology | Dhhs Phs Naihs Shiprock Hospital | 6 Rd, Suite 7586, Bloomfield, NM 87413-4934 |
David Greenberg | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
Donielle Dawn Bigman | Nurse Practitioner | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
Erin Wilson | Physician Assistant | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
Judith Marie Bealke | Psychiatry | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
Angelique Pflueger | Diagnostic Radiology | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Street Address |
FOUR CORNERS REGIONAL HEALTH CTR US HWY 160 AND NAVAJO ROUTE 35 RED MESA |
City | TEECNOSPOS |
State | AZ |
Zip | 86514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Strand Baloian | Optometry | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Timothy G Fleming | Family Practice | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Stephen Malcolm Bowers | Emergency Medicine | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Lisa M Poyer | Clinical Social Worker | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Bryan Flint | Family Practice | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Debra Nelissen | Optometry | Dhhs, Phs, Naihs, Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Ira L Salom | Internal Medicine | Dhhs, Phs, Naihs, Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
Trisha E Schimek | Family Practice | Dhhs, Phs, Naihs, Shiprock Hospital | Four Corners Regional Health Ctr, Teecnospos, AZ 86514 |
Mindy Lee Blaski | Family Practice | Dhhs, Phs, Naihs, Shiprock Hospital | Four Corners Regional Health Ctr, Teecnospos, AZ 86514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ralph Henry Smith | Physician Assistant | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Angelique Pflueger | Diagnostic Radiology | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Lisa Kibum Asamoto Kim | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Todd R Smith | Emergency Medicine | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Vivian A Godwin | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Amy R Frasure | Nurse Practitioner | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
David B Durham | Neuropsychiatry | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Jerome Lee Jr. | Otolaryngology | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
George C Baacke Ii | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Jessica Cornett Allen | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
Find all physicians in zip 86514 |
City | TEECNOSPOS |
Zip Code | 86514 |
Specialty | FAMILY PRACTICE |
City + Specialty | TEECNOSPOS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Bert C Eliason.
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.