CHARLES GREGORY ELLIOTT (NPI# 1538253372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538253372 |
| Entity Type | Individual |
| Full Name | CHARLES GREGORY ELLIOTT |
| Practice Address |
8th Ave C St Salt Lake City UT 84143-0001 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014081875 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
160034-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269057 | Charles Lamar Elliott | Pediatrics | 2090 Mound St, Los Angeles, CA 90068-3911 | 2013-03-18 |
| 1083712186 | Charles Harold Elliott | Psychologist | 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116 | 2006-09-20 |
| 1063482404 | Charles Mccarley Elliott | Family Medicine | 1009 City Ave N, Suite A, Ripley, MS 38663-1414 | 2006-01-26 |
| 1144226317 | Charles Layton Elliott | Otolaryngology | 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 | 2005-06-22 |
| 1154933513 | Charles Elliott | Counselor | 356 Biltmore Ave, Asheville, NC 28801-4504 | 2020-08-18 |
| 1003476854 | Charles Elliott | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2019-06-14 |
| 1588198006 | Charles Elliott | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-12 |
| 1184712127 | Charles C Elliott | Specialist | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2006-10-11 |
| 1508823279 | Charles E. Elliott | Anesthesiology | 1201 7th St Se, Decatur, AL 35601-3337 | 2006-04-27 |
| Street Address |
8TH AVE C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316967888 | Peter S Lenz | Emergency Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1376016618 | Ihc Health Services Inc | Internal Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2019-01-09 |
| 1679781124 | Przemyslaw Radwanski | Pharmacist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-05-18 |
| 1275755357 | Heather Elizabeth Welch | Occupational Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-05-02 |
| 1649393281 | Jaren James Cooper | Physical Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-09 |
| 1245353879 | Weston A Lindsay | Physical Therapist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-09 |
| 1104947233 | Anna M Siciliano | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-03 |
| 1093836140 | Audrey Sorensen Walker | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84103 | 2007-04-03 |
| 1902927569 | Katherine King Ragle | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-02 |
| 1376664920 | Heather Anne Elwell | Speech-Language Pathologist | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1114931540 | Jamile Sarah Woods | Internal Medicine | Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 | 2006-07-29 |
| 1003820754 | Hildegard K Smith | Internal Medicine | 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 | 2006-07-28 |
| 1629010079 | John Wade Shigeoka | Internal Medicine | Pulmonary Section 111p, Va Medical Center, Salt Lake City, UT 84148-0001 | 2006-06-11 |
| 1700858727 | Paul T Teman | Internal Medicine | Sleep-wake Center, 375 Chipeta Way, Suite A200, Salt Lake City, UT 84108-1260 | 2006-02-03 |
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1487124624 | Ihc Health Services Inc | Internal Medicine | 324 E 10th Ave Ste 170, Salt Lake City, UT 84103-2858 | 2018-11-30 |
| 1093119893 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1417375213 | Bonnie Ronish | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-7414 | 2014-03-31 |
| 1134563729 | Ashley Lauren Garrett | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2013-04-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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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.