ELLIOT H COUSINS (NPI# 1053356444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053356444 |
| Entity Type | Individual |
| Full Name | ELLIOT H COUSINS |
| Credential | MD |
| Practice Address |
8433 Harcourt Rd Suite 100 Indianapolis IN 46260-2190 |
| Practice Telephone | 3175837702 |
| Practice Fax Number | 3175837601 |
| Mailing Telephone | 3175837702 |
| Mailing Fax Number | 3175837601 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01035926A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100376130A | 05 | |
| RAILROAD MEDICARE PIN | 60016008 | 01 | |
| BCBS PIN | 000000083136 | 01 |
| Street Address |
8433 HARCOURT RD SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953001 | Melanie A Ladine | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2190 | 2005-06-28 |
| 1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
| 1114452604 | Sarah Lawson | Nurse Practitioner | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2017-04-22 |
| 1205224433 | Indianapolis Pediatric Dentistry LLC | Dentist | 8433 Harcourt Rd, Suite 307, Indianapolis, IN 46260-2190 | 2014-12-22 |
| 1457691511 | Felicia D Damon | Specialist/Technologist, Other | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2013-02-26 |
| 1518205509 | Ladine Podiatry, PC | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2196 | 2013-01-25 |
| 1669716528 | Lauren Pothier | Physician Assistant | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2012-11-16 |
| 1316228042 | Stephanie A Grubb | Specialist/Technologist, Other | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-09-08 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| 1073891131 | Charles Assue Brown | Perfusionist | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2011-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| 1073542346 | Deepak Guttikonda | Surgery | 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250-2694 | 2006-06-30 |
| 1255397246 | Gary W Lemmon | Surgery | 1801 N Senate Blvd Ste D-3500, Indianapolis, IN 46202-1228 | 2006-04-26 |
| 1861999401 | Michael David Ingram | Surgery | 1130 W. Michigan St, Fessler Hall 318, Indianapolis, IN 46202 | 2018-04-10 |
| 1851746465 | Justin Rossel King | Surgery | 1801 N Senate Blvd, Mpc 2, Suite #3500, Indianapolis, IN 46202 | 2016-05-02 |
| 1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
| 1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
| 1508285784 | Shihuan Keisin Wang | Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2014-04-15 |
| 1659676146 | Gregory George Westin | Surgery | 1801 N Senate Blvd, Mpc2, Suite 3500, Indianapolis, IN 46202-1184 | 2011-01-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on ELLIOT H COUSINS.
| 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.