DR. BRIAN T ELLER (NPI# 1457354482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457354482 |
| Entity Type | Individual |
| Full Name | DR. BRIAN T ELLER |
| Credential | MD |
| Practice Address |
3078 Niles Rd Saint Joseph MI 49085-8608 |
| Mailing Address |
3165 Dunes Valley Path Stevensville MI 49127-9368 |
| Practice Telephone | 2694284620 |
| Practice Fax Number | 2694284625 |
| Mailing Telephone | 2695569739 |
| Mailing Fax Number | 2695569924 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
X | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3078 NILES RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326468992 | Tony Palmer, Md, Pllc | Clinic/Center | 3078 Niles Rd, Saint Joseph, MI 49085-8608 | 2014-04-23 |
| 1508051863 | My Heart Partners PC | Internal Medicine | 3078 Niles Rd, Saint Joseph, MI 49085-8608 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689996159 | Abraham Koshy | Internal Medicine | 3050 Bluffwood Pl, Saint Joseph, MI 49085-9347 | 2010-02-24 |
| 1184660938 | Mohan R Hindupur | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7752 | 2006-06-21 |
| 1356332258 | Cardiac Care Consultants Inc | Internal Medicine | 3925 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-10-31 |
| 1528054996 | Julian Jesus Nunez | Internal Medicine | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7743 | 2005-09-21 |
| 1013359173 | Sajjad Ahmad | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2013-07-17 |
| 1366724437 | Lakeland Medical Practices | Internal Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2011-09-15 |
| 1962644310 | Clarence Maurice Findley | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2009-04-01 |
| 1134377435 | David K Rhine | Internal Medicine | 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151 | 2008-08-29 |
| 1508051863 | My Heart Partners PC | Internal Medicine | 3078 Niles Rd, Saint Joseph, MI 49085-8608 | 2007-09-10 |
| 1205911047 | Great Lakes Heart & Vascular Institute, P.C. | Internal Medicine | 3950 Hollywood Rd, Suite 110, Saint Joseph, MI 49085-9151 | 2006-10-26 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DR. BRIAN T ELLER.
| 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.