DR. MARK LYNN ELLIOTT


Address: 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313
Phone: 6144423347

DR. MARK LYNN ELLIOTT (NPI# 1609902154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609902154
Entity Type Individual
Full Name DR. MARK LYNN ELLIOTT
Credential PH.D.
Practice Address 4775 Knightsbridge Blvd
Suite 203
Columbus
OH 43214-4313
Practice Telephone 6144423347
Practice Fax Number 6144516734
Mailing Telephone 6144423347
Mailing Fax Number 6144516734
Enumeration Date 2007-02-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
4210 OH Behavioral Health & Social Service Providers

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1780965558 Mark O Elliott Chiropractor 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 2011-09-07
1396034559 Mark Randall Elliott Orthopaedic Surgery 4521 N Davis Hwy, Pensacola, FL 32503-2770 2011-03-28
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Office Location

Street Address 4775 KNIGHTSBRIDGE BLVD
SUITE 203
City COLUMBUS
State OH
Zip Code 43214-4313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487634200 Autumn M O'brien Internal Medicine 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 2006-01-18
1104133289 Janice Wunderle Bosley Phd LLC Psychologist 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 2010-09-09
1427219492 Emily Tancous Ferguson Pediatrics 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 2008-06-22
1003080961 Columbus Eyecare Associates, Inc. Optometrist 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 2008-04-22
1780875450 Lisa Marie Wong Specialist/Technologist 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 2007-08-07
1326247073 Tiamarie Nicole Moran Dentist 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 2007-07-13
1467666727 Deanna Maria Golden-kreutz Psychologist 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 2007-05-09
1972623239 Gene Paul King Dentist 4775 Knightsbridge Blvd, Suite 101, Columbus, OH 43214 2007-03-30
1568503837 Theodore Smiley Optometrist 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 2007-02-09
1659411932 Patrick Dollenmayer Optometrist 4775 Knightsbridge Blvd, Suite 102, Columbus, OH 43214-4313 2007-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275145070 The Smile Method LLC Dentist 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 2020-08-21
1083175681 Mahima Venkatesh Prasad Student in an Organized Health Care Education/Training Program 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 2019-03-27
1346737988 Julie Jackson Occupational Therapist 214 Westwood Rd, Columbus, OH 43214 2018-04-19
1942703830 A1 Nursing Solution,llc Nursing Care 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 2018-03-16
1699280024 Darlene R Britford Social Worker 3770 N. High Street, Columbus, OH 43214 2017-12-07
1194235739 Molly Luckner Social Worker 3763 N High St., Ste A, Columbus, OH 43214 2017-10-10
1700395357 Deidre Monique Radford Peer Specialist 3770 North High St., Columbus, OH 43214 2017-09-27
1154844884 Beth Balog Pharmacist 513 Arden Rd, Columbus, OH 43214 2017-07-25
1164951430 Raad Bin Zakir Chowdhury Student in an Organized Health Care Education/Training Program 3595 Olentangy River Road, Columbus, OH 43214 2017-06-08
1841734787 Joel Franck Counselor 3620 High Street, Suite 107, Columbus, OH 43214 2016-12-12
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1275184723 Reset Button Counseling LLC Psychologist 4041 N High St Ste 300l, Columbus, OH 43214-3200 2019-09-26
1376021022 Deloveh Psychological Services, LLC Psychologist 4041 N High St Ste 300f, Columbus, OH 43214-3200 2018-08-04
1235636697 Lisa Christian Psychologist 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 2018-04-11
1093226581 Amanda Conn Psychologist 454 E Main St Ste 240, Columbus, OH 43215-5380 2017-10-24
1144749441 Chelsea Kane Psychologist 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 2017-09-18
1346769445 Karla L Delcour Psychologist 2200 W. Broad Street, Columbus, OH 43223 2017-09-11
1477003143 Bethel Olentangy Psychological Services Psychologist 4949 Olentangy River Road, Columbus, OH 43214 2016-10-06
1417302209 Kristen Hurley Psychologist 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 2016-04-28
1699135392 Krystal Marie Hernandez-kane Psychologist 620 E Broad St, Columbus, OH 43215-4037 2016-02-24
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Competitor

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City COLUMBUS
Zip Code 43214

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Dataset Information

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.

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