MICHAEL CHAD ELLIOTT (NPI# 1306312822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306312822 |
| Entity Type | Individual |
| Full Name | MICHAEL CHAD ELLIOTT |
| Credential | PA-C |
| Practice Address |
2602 Saint Michael Dr Ste 302b Texarkana TX 75503 |
| Mailing Address |
2900 Saint Michael Dr Ste 401 Texarkana TX 75503-5211 |
| Practice Telephone | 9037944196 |
| Practice Fax Number | 9036145190 |
| Mailing Telephone | 9036147693 |
| Mailing Fax Number | 9036145343 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TEMPORARY | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1002 Texas Blvd Ste 406, Texarkana, TX 755015113 | 9037944196 | 9037927408 |
| 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 |
| 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 |
| 1790164127 | Michael Elliott | Hospitalist | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2015-05-19 |
| Street Address |
2602 SAINT MICHAEL DR STE 302B |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665319 | John Brett Dietze | Neurological Surgery | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 | 2005-08-02 |
| 1093929150 | Marcus Andrew Smith | Specialist | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 | 2007-05-09 |
| 1215952965 | Sherry Lynn Missildine | Nurse Practitioner | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526901 | Amber D Bethea | Physician Assistant | 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 | 2006-04-07 |
| 1164466280 | Cynthiia Collum | Physician Assistant | 5420 Medical Parkway Dr, Texarkana, TX 75503-4622 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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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.