KATHARINA E ELLIOTT NPI 1710956347

NPI Information

NPI: 1710956347
Provider Name: KATHARINA E ELLIOTT
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
601 JOHN ST
SUITE M005
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-6350
Get Directions

Katharina E Elliott is a pediatric hematology-oncology pediatrics in Kalamazoo, MI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Katharina E Elliott NPI is 1710956347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 JOHN ST
SUITE M005
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 341-6350
Fax: (269) 341-8580

The NPI 1710956347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 11/27/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	4301072976	MICHIGAN	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	1710956347	MEDICAID	MICHIGAN
2	3503904111	OTHER		BCBS
3	4186840	MEDICAID	MICHIGAN
4	1417961137	OTHER	MICHIGAN	BCBSM - BRONSON

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: 4/28/2024

NPI Synchronization or Removal

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