WILLIAM G ELLIOTT (NPI# 1649200403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649200403 |
Entity Type | Individual |
Full Name | WILLIAM G ELLIOTT |
Credential | DO |
Practice Address |
75 Colonia De Salud Suite 200b Sierra Vista AZ 85635-2487 |
Mailing Address |
Po Box 30370 Tucson AZ 85751-0370 |
Practice Telephone | 5204170468 |
Practice Fax Number | 5204590526 |
Mailing Telephone | 5207220777 |
Mailing Fax Number | 5202909713 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2007-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
03390 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BCBSAZ | AZ0761240 | 01 |
AZ | 445008 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831438795 | William Rudolph Elliott | Pharmacist | 630 N Wymore Rd Ste 370, Maitland, FL 32751-4269 | 2013-02-12 |
1497975841 | William Brooks Elliott | Pharmacist | 7230 Hwy 441 N, Dillard, GA 30537 | 2007-04-26 |
1609911940 | William John Elliott | Pharmacist | 907 Foxland Pl, West Bend, WI 53095-5532 | 2007-02-21 |
1508952169 | William Dewaine Elliott | Chiropractor | 3153 Cahaba Heights Rd, Vestavia, AL 35243-5246 | 2006-10-04 |
1235230954 | William Kerry Elliott | Chiropractor | 34 Greenville St, Newnan, GA 30263-2602 | 2006-09-26 |
1013981042 | William R Elliott | Emergency Medicine | 1827 Riva Ridge Dr, Mansfield, OH 44904-2127 | 2006-02-15 |
1619953049 | William Gavin Elliott | Anesthesiology | 111 Michigan Avenue Nw, Department of Anesthesiology, Washington, DC 20010 | 2005-12-19 |
1790783710 | William S Elliott | Dentist | 1017 Molalla Ave, Suite 1, Oregon City, OR 97045-3739 | 2005-07-13 |
1063616837 | William Edward Elliott | Pediatrics | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2007-06-13 |
1407975717 | William Jerome Elliott | Counselor | 760 Mountain View St, Altadena, CA 91001-4925 | 2007-03-28 |
Street Address |
75 COLONIA DE SALUD SUITE 200B |
City | SIERRA VISTA |
State | AZ |
Zip Code | 85635-2487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649268574 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 75 Colonia De Salud, Sierra Vista, AZ 85635-2485 | 2005-10-13 |
1790178143 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 75 Colonia De Salud, A100, Sierra Vista, AZ 85635-2487 | 2015-03-10 |
1861778615 | Laurel Ann Pierquet | Physician Assistant | 75 Colonia De Salud, Suite 100c, Sierra Vista, AZ 85635-2487 | 2011-10-25 |
1467764514 | Cochise Digestive Health Center Pllc | Internal Medicine | 75 Colonia De Salud, Suite 100b, Sierra Vista, AZ 85635-2487 | 2010-07-06 |
1720218860 | Sierra Vista Obstetrics & Gynecology Inc | Obstetrics & Gynecology | 75 Colonia De Salud, Ste 100b, Sierra Vista, AZ 85635-2487 | 2009-07-23 |
1588803837 | Roberto A Molina | Internal Medicine | 75 Colonia De Salud, Suite 200c, Sierra Vista, AZ 85635-2487 | 2009-02-10 |
1073778437 | United Pathology Inc. | Specialist | 75 Colonia De Salud, Ste 200d, Sierra Vista, AZ 85635-2487 | 2008-07-25 |
1740442201 | James F Keane | Internal Medicine | 75 Colonia De Salud, Suite 200a, Sierra Vista, AZ 85635-2487 | 2008-06-26 |
1376735613 | David Joseph Knapp | Internal Medicine | 75 Colonia De Salud, Suite 200a, Sierra Vista, AZ 85635-2487 | 2007-08-10 |
1831397512 | Sierra Vista Internal Medicine, Pllc | Legal Medicine | 75 Colonia De Salud, Suite 200a, Sierra Vista, AZ 85635-2487 | 2007-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
Find all providers in zip 85635 |
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 |
---|---|---|---|---|
1205867413 | Richard M Gladding | Internal Medicine | 2530 E Wilcox Dr, Sierra Vista, AZ 85635-2843 | 2006-07-05 |
1891055596 | Sierra Heart, Pllc | Internal Medicine | 302 El Camino Real, Suite G, Sierra Vista, AZ 85635-2860 | 2012-05-29 |
1497903389 | Desert Cardiovascular Group Ltd | Internal Medicine | 2530 E Wilcox Dr, Sierra Vista, AZ 85635-2843 | 2008-09-04 |
1073601852 | Jose Ignacio Gonzalez | Internal Medicine | 157 N Coronado Dr, Ste A, Sierra Vista, AZ 85635-6360 | 2006-10-10 |
1295835882 | Cochise Heart Center Pllc | Internal Medicine | 75 Colonia De Salud, Suite 200b, Sierra Vista, AZ 85635-2487 | 2006-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
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City | SIERRA VISTA |
Zip Code | 85635 |
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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.