DR. MARK WILLIAM ELLIOTT (NPI# 1053349415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053349415 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM ELLIOTT |
| Credential | M.D. |
| Practice Address |
3205 S Russell St Missoula MT 59801-8536 |
| Mailing Address |
7533 Highline Ct Missoula MT 59808-8635 |
| Practice Telephone | 4067214906 |
| Mailing Telephone | 4065428422 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7226 | MT | Allopathic & Osteopathic Physicians |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
7226 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0103389 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634884 | Mark David Elliott | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2017-12-04 |
| 1386182624 | Mark Elliott | Behavior Technician | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2017-02-07 |
| 1750766671 | Mark Elliott | Social Worker | 1006 E 39th St, Austin, TX 78751-5207 | 2015-07-21 |
| 1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
| 1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
| 1922441997 | Mark David Elliott | Psychiatry & Neurology | 13001 E 17th Pl Ste F546, Aurora, CO 80045 | 2013-04-09 |
| 1245593573 | Mark Elliott | Emergency Medicine | 7600 Beechnut St, Houston, TX 77074 | 2012-06-21 |
| 1780965558 | Mark O Elliott | Chiropractor | 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 | 2011-09-07 |
| 1396034559 | Mark Randall Elliott | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2011-03-28 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| Street Address |
3205 S RUSSELL ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-8536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250426 | Adam John Benson | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2005-10-24 |
| 1295916120 | Kyle Laird Dale | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2007-11-20 |
| 1689794083 | Anthony D'amico | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2007-03-30 |
| 1043225469 | Joel A Brake | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-07-31 |
| 1831114339 | James Elton Mckay Jr. | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-07-13 |
| 1780609958 | Roy W Zimmer IIi | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-07-12 |
| 1225066459 | Michael Austin Stewart | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-06-28 |
| 1386671493 | William J Birck | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-06-26 |
| 1457396020 | Sarsfield Patrick Dougherty | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-06-18 |
| 1194767418 | Paul Henry Eikens | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739158 | Julie P Browne | Radiology | 2025 Eagle Nest Ln, Missoula, MT 59802-5796 | 2020-01-16 |
| 1265875991 | Tyson R Finlinson | Radiology | 2740 South Ave W, Missoula, MT 59804-5135 | 2013-04-11 |
| 1710278510 | Casey Schmitz | Radiology | 2419 Mullan Rd Ste D, Missoula, MT 59808-1856 | 2011-04-27 |
| 1891955027 | David Bauer | Radiology | 3819 Stephens Ave Ste 300, Missoula, MT 59801-8522 | 2008-06-11 |
| 1164533782 | Thomas Andrew Layne | Radiology | 414 Rainier Ct, Missoula, MT 59803-2456 | 2006-08-31 |
| 1205876992 | Daniel M Fruechte | Radiology | Advanced Imaging, 2803 South Ave W, Missoula, MT 59804 | 2006-06-08 |
| 1548250426 | Adam John Benson | Radiology | 3205 S Russell St, Missoula, MT 59801-8536 | 2005-10-24 |
| 1275081309 | Inland Imaging LLC - Mt | Radiology | 2419 Mullan Rd Ste D, Missoula, MT 59808-1856 | 2016-09-19 |
| 1053868992 | Integra Imaging Ps - Mt | Radiology | 2419 Mullan Rd, D, Missoula, MT 59808-1856 | 2016-09-08 |
| 1831538701 | Robert Frost | Radiology | 2740 South Ave W, Missoula, MT 59804 | 2013-06-24 |
| Find all providers in MISSOULA | ||||
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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.