MICHAEL JOHNATHON ELLIOTT (NPI# 1104845569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104845569 |
Entity Type | Individual |
Full Name | MICHAEL JOHNATHON ELLIOTT |
Credential | M.D. |
Practice Address |
1500 E 2nd St Ste 300 Reno NV 89502-1198 |
Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
Practice Telephone | 7759825000 |
Practice Fax Number | 7759823900 |
Mailing Telephone | 7759825262 |
Mailing Fax Number | 7759825496 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-05-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | G75995 | CA | Allopathic & Osteopathic Physicians |
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
18506 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VI | VIRGINIA MEDICAL LICENSE | 0101233368 | 01 |
CA | DEA NUMBER | BE9761570 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689016602 | Michael Alan Elliott | Psychologist | 24800 Chrisanta Dr Ste 120, Mission Viejo, CA 92691-4839 | 2013-07-18 |
1700224409 | Michael Elliott | Social Worker | 77 Guilden St, New Brunswick, NJ 08901-1743 | 2013-06-05 |
1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
1649338583 | Michael Cody Elliott | Counselor | 1400 College St, Suite 204, Sulphur Springs, TX 75482 | 2006-12-04 |
1316057789 | Michael Robert Elliott | Dentist | 1615 Spruce, Duncan, OK 78533-2305 | 2006-08-30 |
1972545432 | Michael Brandon Elliott | Dentist | 321 8th St, West Palm Beach, FL 33401-3309 | 2006-06-11 |
1548267693 | Michael W Elliott II | Family Medicine | 807 W. Craft St., Robinson, IL 62454-1137 | 2005-07-05 |
1306312822 | Michael Chad Elliott | Physician Assistant | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 | 2018-10-23 |
1437685534 | Michael Steven Elliott | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, 74135, Tulsa, OK 74135-2536 | 2017-05-10 |
1699156877 | Michael Elliott | Emergency Medicine | 299 Kings Daughters Dr, Frankfort, KY 40601 | 2015-06-14 |
Street Address |
1500 E 2ND ST STE 300 |
City | RENO |
State | NV |
Zip Code | 89502-1198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760474555 | Christos A Galanopoulos | Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2005-08-17 |
1063072882 | Stephanie Christian | Physician Assistant | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2019-06-14 |
1194296632 | Community Care Services LLC | Pediatrics | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2018-12-10 |
1659856631 | Eastern Sierra Medical Group LLC | Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2018-09-26 |
1578004073 | Lisa Corinne Cavin | Physician Assistant | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2017-03-16 |
1043530074 | Kimball Scott Knackstedt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2010-06-01 |
1295997856 | Ashley M White | Nurse Practitioner | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2008-06-25 |
1982822615 | Northern Nevada Lithotripsy | Clinic/Center | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2007-04-20 |
1033284468 | Urologic Surgeons Ltd | Urology | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2006-11-21 |
1255442919 | Carolyn Renee Dennehey | Internal Medicine | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
Find all providers in zip 89502 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
1992733042 | Carolien Deroode-wentz | Orthopaedic Surgery | 4750 W Oakey Blvd Ste 401, Las Vegas, NV 89102-1535 | 2006-06-29 |
1154610988 | Surgical Advisors Inc | Orthopaedic Surgery | 501 S Rancho Dr, Suite I-67, Las Vegas, NV 89106-4828 | 2011-04-01 |
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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.