WILLIAM R ELLIOTT MD NPI 1013981042

NPI Information

NPI: 1013981042
Provider Name: WILLIAM R ELLIOTT, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1827 RIVA RIDGE DR
MANSFIELD, OH
ZIP 44904
Phone: (419) 617-4452
Get Directions

William R Elliott, MD is a family medicine in Mansfield, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. William R Elliott, MD NPI is 1013981042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1827 RIVA RIDGE DR
MANSFIELD, OH
ZIP 44904-127
Phone: (419) 617-4452
Fax: (419) 617-1080

The enumeration date for this NPI number is 2/15/2006 and was last updated on 9/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	054178	GEORGIA	No
2	207P00000X	Emergency Medicine	ME 89642	FLORIDA	No
3	207Q00000X	Family Medicine	054178	GEORGIA	No
4	207Q00000X	Family Medicine	ME 89642	FLORIDA	No
5	207Q00000X	Family Medicine	35063580	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B46580	MEDICARE UPIN	GEORGIA
2	93BBGLL	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE
3	796583793B	MEDICAID	GEORGIA
4	EL0796367	MEDICARE PIN	OHIO
5	93165	OTHER	FLORIDA	BCBS
6	P00409963	MEDICARE PIN
7	2016704	MEDICAID	OHIO
8	277657000	MEDICAID	FLORIDA
9	796583793C	MEDICAID	GEORGIA
10	AD739Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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