Charles L Elliott (NPI# 1144226317, PAC ID# 7315010162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1144226317 |
| PAC ID by PECOS | 7315010162 |
| Professional Enrollment ID | I20080728000012 |
| Full Name | Charles L Elliott |
| Organization Legal Name | WITHAM MEMORIAL HOSPITAL |
| Address |
2605 N Lebanon St Lebanon IN 46052-1476 |
| Phone Number | 7654858000 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 4082523170 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150104 | WITHAM HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 2605 N Lebanon St, Lebanon, IN 46052-1476 | 7654858000 | WITHAM MEMORIAL HOSPITAL |
| 6085 Heartland Dr, Zionsville, IN 46077-4433 | WITHAM MEMORIAL HOSPITAL |
| Organization Legal Name | WITHAM MEMORIAL HOSPITAL |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew N Sollars | Physical Therapy | Witham Memorial Hospital | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 |
| Abby E White | Nurse Practitioner | Witham Memorial Hospital | 400 N Mt Zion Rd, Witham Convenient Care, Lebanon, IN 46052-9497 |
| Emma J Nordstrom | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Douglas J Ladika | Physician Assistant | Witham Memorial Hospital | 151 E Bow St, Thorntown, IN 46071-1164 |
| Michael W Chapman | Family Medicine | Witham Memorial Hospital | 6085 Heartland Dr, Suite 205, Zionsville, IN 46077-4433 |
| Herschell Servies Jr. | Family Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Kelley I Gibbs | Nurse Practitioner | Witham Memorial Hospital | 1650 W Oak St, Zionsville, IN 46077-3835 |
| Brandon J Horn | Orthopedic Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| William N Arnold | Psychiatry | Witham Memorial Hospital | 2705 N Lebanon St, Suite 305, Lebanon, IN 46052-8622 |
| Nicholas R Osborne | Nurse Practitioner | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Street Address |
2605 N LEBANON ST |
| City | LEBANON |
| State | IN |
| Zip | 46052-1476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herschell Servies Jr. | Family Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Brandon J Horn | Orthopedic Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Leann M Toliver | Nurse Practitioner | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Laura M Lambert | Anesthesiology | Anesthesiology of Indianapolis, PC | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Hak Nam Kim | Gastroenterology | University Medical Diagnostic Associates Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Nicholas R Osborne | Nurse Practitioner | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Jonathan S Fried | Emergency Medicine | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Michael Ira Shapiro | Pulmonary Disease | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Thomas W Heniff | Emergency Medicine | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Cody M Elmore | Emergency Medicine | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Bumbalough | Nurse Practitioner | Proactive Clinical Partners | 2494 N Lebanon St, Homewood of Lebanon, Lebanon, IN 46052-1111 |
| Rita A Mankus | Nephrology | Franciscan Physician Network | 2485 N Lebanon St, Lebanon, IN 46052-1186 |
| John Curtis Tuttle | Internal Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Amanda J Stevens-udeze | Endocrinology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Khaled Abdeljawad | Internal Medicine | University Medical Diagnostic Associates Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Stephen L Matney | Psychiatry | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Chad Hartman Meshberger | Neurology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Benjamin D Brewster | General Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Carrie Ann Ann Richardson | Anesthesiology | Anesthesiology of Indianapolis, PC | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Emily J Lo | Otolaryngology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Find all physicians in zip 46052 | |||
| City | LEBANON |
| Zip Code | 46052 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LEBANON + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Charles 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.