WILLIAM R ELLIOTT (NPI# 1013981042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013981042 |
| Entity Type | Individual |
| Full Name | WILLIAM R ELLIOTT |
| Credential | MD |
| Practice Address |
1827 Riva Ridge Dr Mansfield OH 44904-2127 |
| Practice Telephone | 4196174452 |
| Practice Fax Number | 4196171080 |
| Mailing Telephone | 4196174452 |
| Mailing Fax Number | 4196171080 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME 89642 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 054178 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35063580 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME 89642 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 054178 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277657000 | 05 | |
| GA | 796583793B | 05 | |
| GA | 796583793C | 05 | |
| OH | 2016704 | 05 | |
| FL | BCBS | 93165 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831438795 | William Rudolph Elliott | Pharmacist | 630 N Wymore Rd Ste 370, Maitland, FL 32751-4269 | 2013-02-12 |
| 1497975841 | William Brooks Elliott | Pharmacist | 7230 Hwy 441 N, Dillard, GA 30537 | 2007-04-26 |
| 1609911940 | William John Elliott | Pharmacist | 907 Foxland Pl, West Bend, WI 53095-5532 | 2007-02-21 |
| 1508952169 | William Dewaine Elliott | Chiropractor | 3153 Cahaba Heights Rd, Vestavia, AL 35243-5246 | 2006-10-04 |
| 1235230954 | William Kerry Elliott | Chiropractor | 34 Greenville St, Newnan, GA 30263-2602 | 2006-09-26 |
| 1619953049 | William Gavin Elliott | Anesthesiology | 111 Michigan Avenue Nw, Department of Anesthesiology, Washington, DC 20010 | 2005-12-19 |
| 1790783710 | William S Elliott | Dentist | 1017 Molalla Ave, Suite 1, Oregon City, OR 97045-3739 | 2005-07-13 |
| 1063616837 | William Edward Elliott | Pediatrics | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2007-06-13 |
| 1407975717 | William Jerome Elliott | Counselor | 760 Mountain View St, Altadena, CA 91001-4925 | 2007-03-28 |
| 1144304122 | William T. Elliott | Internal Medicine | 97 San Marin Dr, Novato, CA 94945-1100 | 2006-10-25 |
| Street Address |
1827 RIVA RIDGE DR |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44904-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1285970871 | Carrie Ann Northover | Licensed Practical Nurse | 9288 State Route 314, Mansfield, OH 44904 | 2012-12-31 |
| 1902035413 | Charme A Carroll | Licensed Practical Nurse | 8235 St Rt 314, Lexington, OH 44904 | 2009-07-06 |
| 1851577076 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 355 East Main Street, Lexington, OH 44904 | 2008-01-17 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1245450220 | Rebecca Annette Eusey | Chore Provider | 91 West Main, Lexington, OH 44904 | 2007-05-01 |
| 1891815148 | Karen Lee Watkins | Licensed Practical Nurse | 780 W Straub Rd, Apt 1a, Mansfield, OH 44904 | 2007-03-30 |
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1427064518 | Cary A Craner | Chiropractor | 2754 Lexington Ave, Lexington, OH 44904 | 2006-07-31 |
| 1073570537 | Christopher E. Shewan | Optometrist | 35 Plymouth St, Lexington, OH 44904 | 2006-04-27 |
| Find all providers in zip 44904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351474 | Rudo P Madondo-gwitira | Family Medicine | 4201 Palmer Dr, Mansfield, TX 76063-3432 | 2020-09-23 |
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1992143549 | Philip U Ramirez | Family Medicine | 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 | 2013-06-05 |
| 1396066171 | Jeffrey Urieto | Family Medicine | 1776 North Us 287, Suite 220, Mansfield, TX 76063 | 2010-06-16 |
| 1184882813 | Doyle Fairchild Gallman Jr. | Family Medicine | 2360 Highway 157 N, Mansfield, TX 76063-7540 | 2008-05-29 |
| 1699958579 | Pannaben H Nangha | Family Medicine | 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 | 2007-12-13 |
| 1992905376 | Joseph M Kim | Family Medicine | 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 | 2007-07-23 |
| 1487861738 | Erica L Sails | Family Medicine | 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 | 2007-05-17 |
| 1578618492 | Doyle F Gallman Do Pa | Family Medicine | 2360 Fm 157 N, Mansfield, TX 76063-7540 | 2007-01-23 |
| 1689730996 | Patricia Charlene Laurie Brock | Family Medicine | 1420 Parkside Dr, Mansfield, TX 76063-8618 | 2006-12-29 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.