STEPHEN C ELLIOTT (NPI# 1710971478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710971478 |
| Entity Type | Individual |
| Full Name | STEPHEN C ELLIOTT |
| Credential | DO PHD |
| Practice Address |
1212 Pleasant St Suite 300 Des Moines IA 50309-1453 |
| Practice Telephone | 5152416000 |
| Practice Fax Number | 5152418728 |
| Mailing Telephone | 5152416000 |
| Mailing Fax Number | 5152418728 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
1578 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 175150071 | 01 | |
| MO | 1710971478 | 05 | |
| IA | 1710971478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346674983 | Stephen Trader Elliott Jr. | Registered Nurse | Kamc, Ngh, Mc 1, Building 12, Apt. 8, Er Mail Cose 6338, Jeddah, MAKKAH 21423 | 2013-08-31 |
| 1437160256 | Stephen P Elliott | Family Medicine | 11979 Fishers Crossing Dr, Fishers, IN 46038-2778 | 2006-08-10 |
| 1669471611 | Stephen Mark Elliott | Social Worker | 320 Central Park W, Suite 1 E, New York, NY 10025-7659 | 2005-07-20 |
| 1528678455 | Stephen Elliott | Adult Companion | 1500 E Tropicana Ave, Las Vegas, NV 89119-6514 | 2020-08-05 |
| 1215590054 | Stephen Michael Elliott | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2019-04-17 |
| 1619215787 | Stephen Charles Elliott | General Practice | 1006 Depot Hill Rd, Broomfield, CO 80020-6721 | 2013-01-24 |
| 1952500183 | Stephen C Elliott | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-07-17 |
| 1417009937 | Stephen Seals Elliott | Psychologist | 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 | 2007-01-17 |
| 1023127644 | Stephen J Elliott | Pediatrics | 15031 Rinaldi St, Mission Hills, CA 91345 | 2006-08-29 |
| Street Address |
1212 PLEASANT ST SUITE 300 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242540 | Cynthia S Hockman | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 | 2005-08-16 |
| 1326410499 | Tara M. Eastvold | Nurse Practitioner | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2015-10-28 |
| 1447672589 | Terri M Rater | Nurse Practitioner | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2014-01-08 |
| 1104105303 | Brenda K. Pedersen | Occupational Therapist | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1414 | 2011-08-05 |
| 1588952147 | Carlos A Pelaez Gil | Surgery | 1212 Pleasant St, Ste 211, Des Moines, IA 50309 | 2011-07-18 |
| 1528360856 | Sarah Marie Seehase | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1414 | 2010-11-18 |
| 1861704454 | Christopher J Borgman | Optometrist | 1212 Pleasant St, Suite 202, Des Moines, IA 50309-1414 | 2010-07-12 |
| 1427376219 | Debra Ann Downing | Nurse Practitioner | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 | 2010-05-04 |
| 1255657680 | Jacob Edward Sramek | Pathology | 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309-1414 | 2010-04-09 |
| 1376777524 | Alladdin Moh. Elhadi Abosaida | Pediatrics | 1212 Pleasant St, Suite 204, Des Moines, IA 50309-1414 | 2009-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598812307 | Wendy Woods-swafford | Pediatrics | 1215 Pleasent St., Ste. 306, Des Moines, IA 50309-1453 | 2007-01-04 |
| 1629050802 | Naser J Al Zein | Pediatrics | 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 | 2005-11-15 |
| 1114913985 | Torrey L Mitchell | Pediatrics | 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 | 2005-09-27 |
| 1508850496 | Stephen R Stephenson | Pediatrics | 1215 Pleasant St., Ste. 306, Des Moines, IA 50309-1453 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508243700 | Torin Waters | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242 | 2015-04-27 |
| 1013350289 | Jamie M Truscott | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242 | 2013-04-08 |
| 1972739712 | William Terry Iv | Pediatrics | 200 Hawkins Dr, 2520 Jcp, Iowa City, IA 52242-1009 | 2009-06-08 |
| 1619137247 | Arunkumar Jagadishbhai Modi | Pediatrics | 200 Hawkins Dr, Dept of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 | 2008-06-17 |
| 1336321330 | David Jon Gordon | Pediatrics | 200 Hawkins Dr, Department of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 | 2007-11-30 |
| 1194945691 | Anjali A Sharathkumar | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-04-26 |
| 1376530485 | Raymond Tannous | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-04 |
| 1689669376 | M Sue Odorisio | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-19 |
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on STEPHEN C ELLIOTT.
| 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.