ELISA D. ENDICOTT (NPI# 1558314963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558314963 |
| Entity Type | Individual |
| Full Name | ELISA D. ENDICOTT |
| Credential | P.A. |
| Practice Address |
801 N Orange Ave Suite 520 Orlando FL 32801-1026 |
| Practice Telephone | 4079920660 |
| Practice Fax Number | 4079927702 |
| Mailing Telephone | 4079920660 |
| Mailing Fax Number | 4079927702 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | PA3672 | FL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA3672 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 N ORANGE AVE SUITE 520 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32801-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627978 | Novamed Surgery Center of Orlando LLC | Clinic/Center | 801 N Orange Ave, Suite 630, Orlando, FL 32801-1026 | 2005-05-24 |
| 1316486251 | Ability Health Services and Rehabilitation Lp | Durable Medical Equipment & Medical Supplies | 801 N Orange Ave, Suite 610, Orlando, FL 32801-1026 | 2017-02-13 |
| 1215475504 | Orlando Plastic Surgery Institute, Pa | Plastic Surgery | 801 N Orange Ave, Suite 530, Orlando, FL 32801-1026 | 2017-02-07 |
| 1912444027 | Medsurg Healthcare Services | Urology | 801 N Orange Ave, Suite 730, Orlando, FL 32801-1026 | 2017-01-26 |
| 1144764713 | Medsurg Consultants LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-12-15 |
| 1053760181 | Medsurg Healthcare Services, LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-06-09 |
| 1538539523 | Medsurg Consultants | Anesthesiology | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2015-10-02 |
| 1427427608 | Tanya Scheidegg | Physical Therapy Assistant | 801 N Orange Ave, Suite 610, Orlando, FL 32801-1026 | 2015-09-17 |
| 1750714416 | John Young Mccready | Physical Therapist | 801 N Orange Ave, Orlando, FL 32801-1026 | 2013-08-17 |
| 1235480872 | Megan Thomas | Physician Assistant | 801 N Orange Ave, Suite 520, Orlando, FL 32801-1026 | 2012-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007676 | Darin Counseling, LLC | Counselor | 1309 East Robinson Street, Orlando, FL 32801 | 2019-05-02 |
| 1144787938 | Kathryn Hankins | Physician Assistant | 801 N. Orange Ave., Suite 600, Orlando, FL 32801 | 2019-02-27 |
| 1073078044 | Lillie Albadin | Physician Assistant | 801 N. Orange Ave, Suite 600, Orlando, FL 32801 | 2019-02-04 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1578082863 | Merito Mifo B. Sabangan | Physical Therapist | 1201 Noble Place, Orlando, FL 32801 | 2017-09-18 |
| 1417475351 | Lyla Shaina Halikman | Behavioral Analyst | 545 Delaney Ave Ste 5, Orlando, FL 32801 | 2017-08-30 |
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1508286824 | Healthcheck Medical, Inc. | Specialist | 5 East Colonial Drive, Orlando, FL 32801 | 2014-04-25 |
| 1033531546 | Rushin Nalin Patel | Internal Medicine | 150 E Robinson St Unit 3206, Orlando, FL 32801 | 2014-01-17 |
| 1649613571 | Carehere LLC | Family Medicine | 10430 Ray Road, Pontre Vedra, FL 32801 | 2013-04-10 |
| Find all providers in zip 32801 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209844 | Jennifer Lynn Brinckerhoff | Dermatology | 4750 The Grove Drive Ste 280, Orlando, FL 32819 | 2014-10-07 |
| 1184985996 | Savina Aneja | Dermatology | 9368 Narcoossee Rd Ste 104, Orlando, FL 32827-5704 | 2012-06-07 |
| 1275805921 | Nicole Swenson | Dermatology | 2116 S Orange Ave Ste C, Orlando, FL 32806 | 2012-01-27 |
| 1932490778 | Lina Maria Cardona | Dermatology | 829 Woodbury Rd Ste 103, Orlando, FL 32828 | 2011-04-27 |
| 1255639357 | Sasha Gay Ashmeade | Dermatology | 10727 Narcoossee Rd Ste B6, Orlando, FL 32832-6943 | 2011-03-14 |
| 1821227133 | Monique Gupta Kumar | Dermatology | 615 E Princeton St Ste 416, Orlando, FL 32803-1469 | 2009-07-08 |
| 1205032497 | Kevin Spohr | Dermatology | 1507 Park Center Drive, Unit 1d, Orlando, FL 32835 | 2007-06-25 |
| 1518929116 | Dzi-long Newman | Dermatology | 80 W Gore St, Orlando, FL 32806-1114 | 2006-04-06 |
| 1023097623 | Elana L Shackelford | Dermatology | 1111 S. Orange Ave, 4th Floor, Orlando, FL 32806 | 2006-01-11 |
| 1285634550 | Steven Marc Price | Dermatology | 300 E Hazel St, Orlando, FL 32804-4023 | 2005-07-28 |
| Find all providers in ORLANDO | ||||
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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.