ELISA SCOTT (NPI# 1912949181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912949181 |
| Entity Type | Individual |
| Full Name | ELISA SCOTT |
| Credential | M.D. |
| Practice Address |
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213 |
| Practice Telephone | 6309546700 |
| Practice Fax Number | 6309541555 |
| Mailing Telephone | 6309546700 |
| Mailing Fax Number | 6309541555 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
036-100748 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-100748 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678321 | Elisa Louise Scott | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2014-03-28 |
| Street Address |
900 JORIE BLVD SUITE 186 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251160 | Antranik S Poladian | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523 | 2005-08-03 |
| 1629525985 | Shelley Pier, Msw, Lcsw | Social Worker | 900 Jorie Blvd, Suite 36, Oak Brook, IL 60523-2213 | 2016-09-03 |
| 1376804864 | Physician Services At Home S.c | Internal Medicine | 900 Jorie Blvd, Suite # 58c, Oak Brook, IL 60523-2213 | 2012-05-31 |
| 1487940417 | Prompt Care Diagnostics Inc | Clinic/Center | 900 Jorie Blvd, Ste 14-4, Oak Brook, IL 60523-2213 | 2011-06-28 |
| 1083807606 | Shelley Gallivan | Nurse Practitioner | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-08-27 |
| 1982802864 | Prasanna Kumar Turaka | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523-2213 | 2007-07-03 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1831223973 | Rohitkumar Vasa | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-03-14 |
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1033151873 | Ravi George | Internal Medicine | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-12 |
| 1326080177 | Harley C Brooks IIi | Internal Medicine | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-12 |
| 1154363372 | John Davis | Internal Medicine | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-12 |
| 1427090653 | Nancy J Field | Internal Medicine | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-12 |
| 1073551594 | Mohammed Shabbir | Internal Medicine | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447446257 | Farah Tazeen | Internal Medicine | 1 S 161 Summit Ave., Oak Brook Terrace, IL 60181-3904 | 2007-09-15 |
| 1114142643 | Christina B Nulty | Internal Medicine | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-17 |
| 1679665020 | Lynessa A Alonso | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-09-29 |
| 1447273859 | Samir Shah M.d.s.c | Internal Medicine | 3560 W 95th St, Evergreen Park, IL 60805-2107 | 2006-07-26 |
| 1194248914 | Mohamed Ihtesham Shaji | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2017-07-24 |
| 1679969182 | Greg D Ewert Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2015-04-10 |
| 1437599867 | Shakuntala Sachin Patil | Internal Medicine | 611 W Park St, Carle Forum Ll, Urbana, IL 61801-2500 | 2013-06-29 |
| 1487993911 | Eilis Ryan | Internal Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2013-02-04 |
| 1831496322 | Capital Health Inc | Internal Medicine | 7107 W Belmont Ave, Suite 8, Chicago, IL 60634-4688 | 2011-02-17 |
| 1356507834 | Woodridgeclinic S.c | Internal Medicine | 805 S Main St, Lombard, IL 60148-3300 | 2008-08-04 |
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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.