Elisa A Illing (NPI# 1851619845, PAC ID# 8921244609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1851619845 |
| PAC ID by PECOS | 8921244609 |
| Professional Enrollment ID | I20160915000082 |
| Full Name | Elisa A Illing |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES, INC. |
| Address |
1801 N Senate Blvd Indianapolis IN 46202-1228 |
| Phone Number | 3179636492 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4587550645 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150024 | ESKENAZI HEALTH |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 3179636492 | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES, INC. |
| Organization Legal Name | UNIVERSITY OTOLARYNGOLOGY ASSOCIATES, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taha Z Shipchandler | Otolaryngology | University Otolaryngology Associates, Inc. | 705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202-5109 |
| Jessica Yesensky | Otolaryngology | University Otolaryngology Associates, Inc. | 550 University Blvd, Suite 3170, Indianapolis, IN 46202-5149 |
| Rebecca J Trepcos | Qualified Audiologist | University Otolaryngology Associates, Inc. | 355 W 16th St, Indianapolis, IN 46202-2207 |
| Avinash V Mantravadi | Otolaryngology | University Otolaryngology Associates, Inc. | 355 W 16th St, Indianapolis, IN 46202-2207 |
| Noah P Parker | Otolaryngology | University Otolaryngology Associates, Inc. | 11725 N Illinois St, Suite 275, Carmel, IN 46032-3009 |
| Melissa H Stanton | Qualified Audiologist | University Otolaryngology Associates, Inc. | 11725 N Illinois St, Suite 275, Carmel, IN 46032-3009 |
| Charles W Yates | Otolaryngology | University Otolaryngology Associates, Inc. | 355 W 16th St, Indianapolis, IN 46202-2207 |
| Ryan Michael Mitchell | Otolaryngology | University Otolaryngology Associates, Inc. | 705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202-5109 |
| Benjamin P Anthony | Otolaryngology | University Otolaryngology Associates, Inc. | 355 W 16th St, Indianapolis, IN 46202-2207 |
| Allison Rose Hammer | Nurse Practitioner | University Otolaryngology Associates, Inc. | 705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202-5109 |
| Street Address |
1801 N SENATE BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-1228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Lynn Beam | Nurse Practitioner | Indiana University Health Care Associates Inc | 1801 N Senate Blvd, 535 Iu Health Physicians Orthopaedics, Indianapolis, IN 46202-1204 |
| Yelena Chernyak | Psychologist, Clinical | University Medical Diagnostic Associates Inc | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 |
| Adam J Lemmon | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| Timothy P Burns | Physician Assistant | Indiana University Health Care Associates Inc | 1801 N Senate Blvd, 535 Iu Health Physicians Orthopaedics, Indianapolis, IN 46202-1204 |
| Patrick Harrison Egan | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 1801 N Senate Blvd, Suite 400, Indianapolis, IN 46202-1245 |
| Brandie Marie Blunck | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 1801 N Senate Blvd, Suite 400, Indianapolis, IN 46202-1245 |
| Katherine Turk | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 1801 N Senate Blvd, Suite 400, Indianapolis, IN 46202-1245 |
| John W Wolfe | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| Marc S Rovner | Pulmonary Disease | Indiana Clinic Critical Care LLC | 1801 N Senate Blvd, Suite 230, Indianapolis, IN 46202-1252 |
| Divina C Reyes | Nurse Practitioner | Indiana University Health Care Associates Inc | 1801 N Senate Blvd, 535 Iu Health Physicians Orthopaedics, Indianapolis, IN 46202-1204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | INDIANAPOLIS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Elisa A Illing.
| 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.