Michael C Elliott (NPI# 1306312822, PAC ID# 1355685199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306312822 |
| PAC ID by PECOS | 1355685199 |
| Professional Enrollment ID | I20181204003446 |
| Full Name | Michael C Elliott |
| Organization Legal Name | C H WILKINSON PHYSICIAN NETWORK |
| Address |
2606 Saint Michael Dr Suite 302 Texarkana TX 75503-2372 |
| Phone Number | 9036145160 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921919580 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 14202 S Padre Island Dr, Corpus Christi, TX 78418-6030 | 3619497660 | C H WILKINSON PHYSICIAN NETWORK |
| 1276 S Peachtree St, Jasper, TX 75951-4916 | 4093845701 | C H WILKINSON PHYSICIAN NETWORK |
| 2602 Saint Michael Dr, Texarkana, TX 75503-2387 | C H WILKINSON PHYSICIAN NETWORK | |
| 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 | 9036145160 | C H WILKINSON PHYSICIAN NETWORK |
| Organization Legal Name | C H WILKINSON PHYSICIAN NETWORK |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Paul James Schmitt | Neurosurgery | C H Wilkinson Physician Network | 1276 S Peachtree St, Jasper, TX 75951-4916 |
| Allyson A Hanson | Family Medicine | C H Wilkinson Physician Network | 805 Trinity Dr, Ctc Hope, Hope, AR 71801-3621 |
| Mary Ann Dutchover | Nurse Practitioner | C H Wilkinson Physician Network | 910 James Bowie Dr, New Boston, TX 75570-2335 |
| Cheryl L Hobbs | Nurse Practitioner | C H Wilkinson Physician Network | 8445 Memorial Blvd, Suite 500, Port Arthur, TX 77640-7003 |
| Christina R White | Nurse Practitioner | C H Wilkinson Physician Network | 308 Griffith St, Pineville, LA 71360-5270 |
| Amy E Shivone | Family Practice | C H Wilkinson Physician Network | 191 N Union Ave, New Braunfels, TX 78130-4447 |
| Igor E Matwijiw | Endocrinology | C H Wilkinson Physician Network | 2602 Saint Michael Dr, Texarkana, TX 75503-2387 |
| Jackson Chia Sheng Chen | Family Practice | C H Wilkinson Physician Network | 14202 S Padre Island Dr, Corpus Christi, TX 78418-6030 |
| Greggory N Angier | General Surgery | C H Wilkinson Physician Network | 1920 Galleria Oaks Dr, Texarkana, TX 75503-4619 |
| Street Address |
2606 SAINT MICHAEL DR SUITE 302 |
| City | TEXARKANA |
| State | TX |
| Zip | 75503-2372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus A Smith | Neurosurgery | C H Wilkinson Physician Network | 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 |
| Benjamin Caleb Dubois | General Surgery | C H Wilkinson Physician Network | 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 |
| John B Dietze | Neurosurgery | C H Wilkinson Physician Network | 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 |
| Howard R Schmidt | General Surgery | C H Wilkinson Physician Network | 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 |
| James O Booker | General Surgery | C H Wilkinson Physician Network | 2606 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Henry Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Puifun Lila Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Trevor J Swanson | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Justin C Jobe | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Michael C Saldino | Podiatry | 4104 Richmond Mdws, Texarkana, TX 75503-0067 | |
| Chad Allen Jennings | Occupational Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Gary Douglas Buckley | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Rachel Ann Grimmett | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Priyal Patel | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Find all physicians in zip 75503 | |||
| City | TEXARKANA |
| Zip Code | 75503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TEXARKANA + PHYSICIAN ASSISTANT |
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| 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.