DR. ELISA M. MONTROSS-LOPEZ


Address: 630 Mulberry Street, Milton, DE 19968
Phone: 3026848053

DR. ELISA M. MONTROSS-LOPEZ (NPI# 1376536623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376536623
Entity Type Individual
Full Name DR. ELISA M. MONTROSS-LOPEZ
Credential MD..
Practice Address 630 Mulberry Street
Milton
DE 19968
Mailing Address 640 S State St
742 Building
Dover
DE 19901-3530
Practice Telephone 3026848053
Practice Fax Number 3026848059
Mailing Telephone 3026743970
Mailing Fax Number 3026722350
Enumeration Date 2005-08-23
Last Update Date 2012-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine C1-0004991 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DE AMERIHEALTH 0420453000 01
DE BLUE CROSS BLUE SHIELD DE 15RG73 01
DE PRINCIPAL HEALTHCARE 47279 01
DE 0000821101 05
DE RAILROAD MEDICARE 080107124 01
DE AETNA 5728537 01
DE MAMSI/UNITED HEALTH CARE 248021 01
DE CAREFIRST BCBS 60953701 01
DE CAREFIRST BCBS DC 0002 01

Office Location

Street Address 630 MULBERRY STREET
City MILTON
State DE
Zip Code 19968

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700337144 Andreal Beckett Registered Nurse 421 S Spinnaker Lane, Milton, DE 19968 2016-10-20
1679648455 Patricia Hannon Physician Assistant 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 2006-11-21
1184737751 Shoreview Medical, Pa Family Medicine 28312 Lewes-georgetown Highway, Cool Spring Office Park, Milton, DE 19968 2006-08-16
1033250493 Milton Fire Department Inc Ambulance 116 Front St, Milton, DE 19968-0000 2007-02-09
1629492376 William Kobza Technician/Technologist 104 Broadkill Rd, Milton, DE 19968-1008 2014-02-14
1720009053 Walgreen Co Durable Medical Equipment & Medical Supplies 120 Broadkill Rd, Milton, DE 19968-1008 2006-07-22
1285689786 Maria V. Haldar Internal Medicine 124 Broadkill Rd, Milton, DE 19968-1008 2006-05-23
1588171193 Ann Lee Pharmacist 120 Broadkill Rd, Milton, DE 19968-1008 2018-01-04
1265717086 Timothy Dillon Pharmacist 120 Broadkill Rd, Milton, DE 19968-1008 2011-10-12
1821372426 Michelle Woods Pharmacist 120 Broadkill Rd, Milton, DE 19968-1008 2011-10-01
Find all providers in zip 19968

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629344106 Megan Pearl Malgeri Family Medicine 28 Centre Dr., Uvm Medical Center - Milton Family Medicine, Milton, VT 05468-3104 2012-03-28
1992098412 Paul Kendall Pulchny Family Medicine 630 Mulberry St, Milton, DE 19968-1516 2011-05-17
1710297957 Harry David Perkins Family Medicine 12489 Danesfeld Dr, Milton, GA 30004-6694 2010-10-20
1568790848 Sidharth Sharma Family Medicine 980 Birmingham Rd Ste 304, Milton, GA 30004-4418 2009-11-25
1730323387 Mehul Danawala Family Medicine 155 S Arch St Ste B, Milton, PA 17847-1172 2009-04-27
1780742072 James Keith Festa Family Medicine 1687 Route 9w, Milton, NY 12547-5433 2006-12-05
1265508774 Anita Tabor Dawson Family Medicine 1798 Midland Tr, Us Rt 60e, Milton, WV 25541-9507 2006-11-27
1255404620 Jonathan E Fountain Md Family Medicine 5976 Berryhill Rd, Milton, FL 32570 2006-11-15
1255424248 Donald G Klinestiver Family Medicine 1028 Mason St, Milton, WV 25541 2006-10-02
1265545255 Abby Marissa Hunt Family Medicine 3874 Highway 90 Ste 201, Milton, FL 32571-1014 2006-08-16
Find all providers in MILTON

Competitor

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City MILTON
Zip Code 19968

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Dataset Information

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.

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