MARK RANDALL ELLIOTT (NPI# 1396034559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396034559 |
| Entity Type | Individual |
| Full Name | MARK RANDALL ELLIOTT |
| Credential | M.D. |
| Practice Address |
4521 N Davis Hwy Pensacola FL 32503-2770 |
| Mailing Address |
Po Box 2699 Attn: Hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504949002 |
| Practice Fax Number | 8504773912 |
| Mailing Telephone | 8504949002 |
| Mailing Fax Number | 8504773912 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME131670 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634884 | Mark David Elliott | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2017-12-04 |
| 1386182624 | Mark Elliott | Behavior Technician | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2017-02-07 |
| 1750766671 | Mark Elliott | Social Worker | 1006 E 39th St, Austin, TX 78751-5207 | 2015-07-21 |
| 1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
| 1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
| 1922441997 | Mark David Elliott | Psychiatry & Neurology | 13001 E 17th Pl Ste F546, Aurora, CO 80045 | 2013-04-09 |
| 1245593573 | Mark Elliott | Emergency Medicine | 7600 Beechnut St, Houston, TX 77074 | 2012-06-21 |
| 1780965558 | Mark O Elliott | Chiropractor | 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 | 2011-09-07 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| 1174609424 | Mark Ryan Elliott | Specialist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-10-30 |
| Street Address |
4521 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568504462 | Gulf Coast Orthopedic Specialists | Specialist | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2007-02-14 |
| 1306363007 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2017-08-24 |
| 1427410976 | Gary Allen | Family Medicine | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2016-03-23 |
| 1437559135 | Dorothy Bailey | Specialist/Technologist | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803963 | Ortho Florida, LLC | Orthopaedic Surgery | 9400 University Pkwy Ste 101b, Pensacola, FL 32514-5485 | 2018-08-29 |
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1720341878 | Andrew Michael Pepper | Orthopaedic Surgery | 5100 N 12th Ave Ste 102, Pensacola, FL 32504 | 2012-06-22 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1457579435 | Erik Christian Nilssen | Orthopaedic Surgery | 825 E Burgess Rd, Pensacola, FL 32504-7001 | 2007-04-23 |
| 1063535979 | William Stansul Ragon Jr. | Orthopaedic Surgery | Orthopaedic Department, 6000 West Highway 98, Pensacola, FL 32512-0001 | 2007-04-06 |
| 1336119387 | Felix Rodriguez Tormes | Orthopaedic Surgery | Highway 98, Naval Hospital, Pensacola, FL 32512 | 2006-01-24 |
| 1831191436 | Thomas Joseph Dennie | Orthopaedic Surgery | 2441 N 9th Ave, Suite B, Pensacola, FL 32503-3911 | 2005-08-12 |
| 1790789774 | Phillip Craig Benton | Orthopaedic Surgery | 1823 N 9th Ave, Pensacola, FL 32503-5270 | 2005-06-08 |
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| Find all providers in PENSACOLA | ||||
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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.