DR. ANTHONY JOHN ELISCO III (NPI# 1922021856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922021856 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY JOHN ELISCO III |
| Credential | D.O. |
| Practice Address |
4215 Joe Ramsey Blvd E # 203 Greenville TX 75401-7852 |
| Practice Telephone | (903) 408-7930 |
| Practice Fax Number | 9034087929 |
| Mailing Telephone | (903) 408-7930 |
| Mailing Fax Number | 9034087929 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Q9805 | TX | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | OS007527L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 539307YMPG | 01 |
| TX | 366443501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215910005 | Anthony J Elisco | Family Medicine | 1112 S Mill St, New Castle, PA 16101-4629 | 2005-11-25 |
| Street Address |
4215 JOE RAMSEY BLVD E # 203 |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 1588955652 | St Francis Physician Services Inc | Urology | 200 Andrews St Ste 100, Greenville, SC 29601-3974 | 2011-04-25 |
| 1578760450 | Kimberly Lynn Burgess | Urology | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2007-07-02 |
| 1063462836 | Donald R. Vaughan | Urology | 18 Memorial Medical Drive, Greenville, SC 29605 | 2006-05-11 |
| 1477519098 | James Howard Sandin | Urology | 4818 Welllington, Suite 4, Greenville, TX 75402 | 2006-04-22 |
| 1073574141 | Lisa Maria Cartwright | Urology | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2006-03-29 |
| 1760479968 | William Patrick Springhart | Urology | 11 Park Creek Dr, Greenville, SC 29605-4270 | 2005-10-03 |
| 1124020946 | Walter P Beh | Urology | 81 N Main St, Greenville, PA 16125-1781 | 2005-08-11 |
| 1811994940 | Woodrow Wilson Long Jr. | Urology | 18 Memorial Medical Dr, Greenville, SC 29605-4452 | 2005-07-05 |
| 1295197507 | Owensboro Health Medical Group, Inc. | Urology | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2016-03-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.