KIMBERLY A. ELLIOTT (NPI# 1396795654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396795654 |
Entity Type | Individual |
Full Name | KIMBERLY A. ELLIOTT |
Credential | M.D. |
Practice Address |
3701 Dauphin St Mobile AL 36608-1756 |
Mailing Address |
2880 Dauphin St Mobile AL 36606-2457 |
Practice Telephone | 2513413368 |
Practice Fax Number | 2513413371 |
Mailing Telephone | 2514731900 |
Mailing Fax Number | 2514708943 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 00027234 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | AETNA PROVIDER # | 7216824 | 01 |
AL | BLUE CROSS OF AL PROV # | 51003855 | 01 |
AL | HEALTHSPRING PROVIDER # | I56767 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265976849 | Kimberly Elliott | Dietitian, Registered | 7787 Richmond Hwy, Appomattox, VA 24522-8680 | 2016-12-15 |
1023393147 | Kimberly Elliott | Social Worker | 1213 Vinewood Ave, Schenectady, NY 12306-2918 | 2011-10-20 |
1033734900 | Kimberly Elliott | Nurse Practitioner | 1662 Dominican Way, Santa Cruz, CA 95065-1522 | 2020-06-16 |
1760025886 | Kimberly Kay Elliott | Social Worker | 1255 Liberty St, Redding, CA 96001-0814 | 2019-10-21 |
1770098311 | Kimberly A Elliott | Counselor | 713 Cheatham St, Springfield, TN 37172-2828 | 2017-12-05 |
1477002921 | Kimberly Elliott | Behavioral Analyst | 3009 C St, Sacramento, CA 95816-3326 | 2016-09-26 |
1891191490 | Kimberly Elliott | Registered Nurse | 1170 Fairgrove Church Rd, Hickory, NC 28602-9695 | 2014-11-08 |
1366723587 | Kimberly Laraine Elliott | Pharmacist | 6103 Fort Caroline Rd, Jacksonville, FL 32277-2035 | 2011-09-01 |
1427383520 | Kimberly L Elliott | Occupational Therapist | 4112 46th Ave, Rock Island, IL 61201-7166 | 2009-10-07 |
1588862098 | Kimberly Ann Elliott | Family Medicine | 1450 Northwest Ln Se Ste A, Pmg Sw Wa Panorama, Lacey, WA 98503-6908 | 2007-07-05 |
Street Address |
3701 DAUPHIN ST |
City | MOBILE |
State | AL |
Zip Code | 36608-1756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051481 | Barry Lee Brown | Otolaryngology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2005-05-24 |
1760090229 | Deborah Howell | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2020-07-21 |
1386252369 | Molly Mochel | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2020-07-16 |
1164083556 | Peyton Williams | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2019-06-26 |
1689232563 | Jessica M Pruett | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2019-06-05 |
1295251981 | Anna Meisler Zarzour | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2017-08-15 |
1255758199 | Charles Drew Salisbury | Ophthalmology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2014-03-27 |
1881842631 | Pamela J Graves | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2008-09-05 |
1407004252 | Deanna K Lowe | Audiologist | 3701 Dauphin St, Mobile, AL 36608-1756 | 2008-09-05 |
1568564722 | Christopher James Walton | Ophthalmology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2006-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
Find all providers in zip 36608 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1497862353 | James F. Benson Jr. | Otolaryngology | 6701 Airport Blvd Ste B123, Mobile, AL 36608-6775 | 2006-08-24 |
1083619332 | Wiley Hugh Justice | Otolaryngology | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2005-06-14 |
1073517769 | Mark Richard Gacek | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2005-06-09 |
1427051481 | Barry Lee Brown | Otolaryngology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2005-05-24 |
1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
1508424763 | Usa Health Physician Billing Services LLC | Otolaryngology | 1720 Center St Ste 103, Mobile, AL 36604-3300 | 2019-06-03 |
1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
1083034367 | Kent L. Burton | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-04-24 |
1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
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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.