DAVID O. ELLIOTT M.D.PA (NPI# 1073906202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073906202 |
| Entity Type | Organization |
| Organization Name | DAVID O. ELLIOTT M.D.PA |
| Practice Address |
1218 W Dixie Ave Suite B Leesburg FL 34748-6380 |
| Mailing Address |
1218 W Dixie Ave Ste B Leesburg FL 34748-6380 |
| Practice Telephone | 3523265132 |
| Practice Fax Number | 3523263315 |
| Mailing Telephone | 3523265132 |
| Mailing Fax Number | 3523263315 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DR. EVA YOLANDA ELLIOTT (OFFICE MANAGER) |
| Authorized Official Telephone | 3523265132 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME38031 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 067316100 | 05 | |
| FL | 1528158045 | 05 |
| Street Address |
1218 W DIXIE AVE SUITE B |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-6380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427426311 | Cathy Lambert | Social Worker | 1218 W Dixie Ave, Suite A, Leesburg, FL 34748-6380 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003258666 | Leesburg Pediatrics Pa | Pediatrics | 110 E North Blvd, Leesburg, FL 34748-5241 | 2013-07-24 |
| 1164659934 | Sosun Z. Faqiri | Pediatrics | 161 Fort Evans Road Ne, Suite 330, Leesburg, VA 20176 | 2009-06-18 |
| 1104012590 | Loudoun Medical Group PC | Pediatrics | 722 E Market Street, Suite 202, Leesburg, VA 20176 | 2007-09-19 |
| 1760505135 | Stephanie Sterrett Konkus | Pediatrics | Town Pediatrics, 823 S. King St, Leesburg, VA 20175 | 2007-04-09 |
| 1639251150 | Sandra Joy Groeber | Pediatrics | 823 S King St, F, Leesburg, VA 20175-3915 | 2006-10-20 |
| 1467487959 | Patricia Finn Rappaport | Pediatrics | 823 S King St Ste F, Leesburg, VA 20175-3916 | 2006-07-12 |
| 1063405579 | Corinna Talley Schrankel | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2005-08-30 |
| 1306839378 | Maria Magdalena Mena | Pediatrics | 733 North 3rd Street, Leesburg, FL 34748-4441 | 2005-08-25 |
| 1043217003 | William Jeffrey Franks | Pediatrics | 225 N 1st St, Leesburg, FL 34748-5150 | 2005-07-06 |
| 1275090912 | Denisse Alejandra Castillo | Pediatrics | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2019-03-01 |
| Find all providers in LEESBURG | ||||
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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.