ZACHARY ELLIOTT (NPI# 1376101501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376101501 |
| Entity Type | Individual |
| Full Name | ZACHARY ELLIOTT |
| Practice Address |
701 N 1st St Ste D220 Springfield IL 62702-3757 |
| Mailing Address |
Po Box 19679 Springfield IL 62794-9679 |
| Practice Telephone | 2175453518 |
| Practice Fax Number | 2175452711 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 125074294 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558805747 | Zachary Elliott | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-07 |
| 1811377799 | Zachary Wade Elliott | Specialist/Technologist | 201 Plaza Dr, Suite A, Sikeston, MO 63801-5105 | 2015-06-04 |
| Street Address |
701 N 1ST ST STE D220 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081453 | Breeanna Murphy | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2017-06-02 |
| 1720602568 | Ryan Wiliam Brown | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-06-06 |
| 1922622679 | Sarah Iqbal | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-28 |
| 1568084887 | James Aaron Rea | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-08 |
| 1770105249 | Gary Hendricks | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1457972986 | Aaron Michael Fleming | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-06 |
| 1396366811 | Jennifer Christine Becker | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-06 |
| 1619598133 | Jillianne Nanadiego | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2020-05-06 |
| 1699334086 | Brandon Michael Chambers | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2019-06-10 |
| 1588223960 | Drew Frey | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1477081453 | Breeanna Murphy | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2017-06-02 |
| 1851822431 | Sean Murray | Emergency Medicine | 2121 S 4th St, Springfield, IL 62703-3449 | 2017-03-24 |
| 1285093393 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 1312 Boston Road, Springfield, MA 01119-1336 | 2016-02-17 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1134506488 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 430 Cooley St, Springfield, MA 01128-1180 | 2015-05-06 |
| 1669805016 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 200 Us Highway 22, Springfield, NJ 07081-3123 | 2013-08-20 |
| 1346582046 | Shannon Macritchie | Emergency Medicine | 3333 Riverbend Dr., Springfield, OR 97401 | 2013-03-20 |
| 1902156839 | Lindsey Michelle Krawczuk | Emergency Medicine | 3801 S. National Ave., Springfield, MO 65807 | 2012-09-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.