Kristin Marie Elliott (NPI# 1801029418, PAC ID# 7214072529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1801029418 |
PAC ID by PECOS | 7214072529 |
Professional Enrollment ID | I20100310000808 |
Full Name | Kristin Marie Elliott |
Organization Legal Name | ST CLAIR PULMONARY AND CRITICAL CARE P C |
Address |
4050 River Rd East China MI 48054-2908 |
Phone Number | 8103263800 |
Gender | F |
Graduation Year | 2009 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5395747786 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230241 | ST JOHN RIVER DISTRICT HOSPITAL |
Address | Phone | Organization |
---|---|---|
4050 River Rd, East China, MI 48054-2908 | 8103263800 | ST CLAIR PULMONARY AND CRITICAL CARE P C |
1210 10th Ave, Port Huron, MI 48060-3406 | 8109848470 | ST CLAIR PULMONARY AND CRITICAL CARE P C |
Organization Legal Name | ST CLAIR PULMONARY AND CRITICAL CARE P C |
Physicians | 1 |
Street Address |
4050 RIVER RD |
City | EAST CHINA |
State | MI |
Zip | 48054-2908 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sridhar P Reddy | Internal Medicine | 4050 River Rd, East China, MI 48054-2908 | |
Matthew Hulst | Optometry | Riverside Eye Center PC | 4050 River Rd, Suite 1, East China, MI 48054-2931 |
Edward M Balok | Ophthalmology | Riverside Eye Center PC | 4050 River Rd, Suite 1, East China, MI 48054-2931 |
Sandeep Randhawa | Ophthalmology | Associated Retinal Consultants PC | 4050 River Rd, East China, MI 48054-2931 |
Sajjad Saeed | Infectious Disease | 4050 River Rd, Suite 2, East China, MI 48054-2931 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica L Green | Physical Medicine and Rehabilitation | 4220 Hospital Dr, East China, MI 48054-2200 | |
David Michel Sabbagh | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Renee M Susko | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Jessica Lynn Young | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Ira M Sabbagh | General Practice | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Matthew R Luttrell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Katherine Ann Blackwell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Allen James Greenway | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
Julie M Schock | Nurse Practitioner | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
Find all physicians in zip 48054 |
City | EAST CHINA |
Zip Code | 48054 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EAST CHINA + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.