LARRY ELLIOTT (NPI# 1164463360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164463360 |
| Entity Type | Individual |
| Full Name | LARRY ELLIOTT |
| Credential | MD |
| Practice Address |
332 Congress Park Dr Dayton OH 45459-4133 |
| Mailing Address |
Po Box 951144 Cleveland OH 44193-0005 |
| Practice Telephone | 9373123627 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35-037744 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619401809 | Larry Elliott Jr. | Physical Therapy Assistant | 831 Mcdow Dr, Rock Hill, SC 29732-2415 | 2017-04-14 |
| 1770933277 | Larry Shane Elliott | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2016-06-15 |
| 1922373836 | Larry Eugene Elliott | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-03-12 |
| 1467781351 | Larry Charles Elliott | Pharmacy Technician | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-12-23 |
| 1942411707 | Larry F. Elliott | Dentist | 1825 Ne 45th St, Suite B, Ft Lauderdale, FL 33308-5117 | 2007-05-24 |
| 1316059017 | Larry Marcus Elliott | Dentist | 620 Perimeter Dr, Suite 200, Lexington, KY 40517 | 2006-08-31 |
| Street Address |
332 CONGRESS PARK DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133687 | Maureen Mantin | Physician Assistant | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2006-05-22 |
| 1437543006 | Christina Kopras | Nurse Practitioner | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2015-03-22 |
| 1740678333 | Bryan Spreng | Physician Assistant | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2015-01-05 |
| 1639452006 | Bertha Renee Kirwan | Nurse Practitioner | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2011-09-22 |
| 1447498829 | Frederick Kuo | Internal Medicine | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2009-01-23 |
| 1790939973 | Peter Dowiatt | Emergency Medicine | 332 Congress Park Dr, Premier Physician Services, Dayton, OH 45459-4133 | 2008-11-14 |
| 1194939447 | Jason Luther Russell | Emergency Medicine | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2007-05-09 |
| 1285855510 | Cheryl Colegrove | Physician Assistant | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2007-05-02 |
| 1235218637 | Deborah Wilson | Family Medicine | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2006-11-04 |
| 1467532184 | Gary R Katz | Emergency Medicine | 332 Congress Park Dr, Dayton, OH 45459-4133 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875437 | Stephanie I Haddad | Emergency Medicine | 10 Julia Way, Dayton, NJ 08810-1308 | 2013-03-26 |
| 1679702294 | Leslie Rae Dye | Emergency Medicine | 601 South Edwin C Moses Rd, Dayton, OH 45417-3424 | 2009-07-02 |
| 1215080049 | Charles Mcintosh | Emergency Medicine | 405 W. Grand Avenue, Dayton, OH 45405-4796 | 2007-01-18 |
| 1134210347 | Bryan T. Fitzgerald | Emergency Medicine | 5664 Stone Lake Dr, Dayton, OH 45429-6001 | 2006-09-27 |
| 1558851568 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-05-15 |
| 1710410998 | Justin Jefferey Lake | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2017-04-05 |
| 1053843870 | Vincent Christopher Marsh | Emergency Medicine | 1 Wyoming St, Dayton, OH 45409-2722 | 2017-03-30 |
| 1215390455 | Bonnie Marmora | Emergency Medicine | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2016-04-04 |
| 1952780322 | Adam Wiercinski | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-19 |
| 1477931871 | Keri Alison Childers | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-18 |
| Find all providers in DAYTON | ||||
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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.