FREDERICK MICHAEL ELLIOTT MD PLLC NPI 1336487396

NPI Information

  • NPI: 1336487396
  • Provider Name: FREDERICK MICHAEL ELLIOTT, MD, PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: ELMWOOD VILLAGE PRIMARY CARE
  • Address: 897 DELAWARE AVE STE 205
    BUFFALO, NY
    ZIP 14209
  • Phone: (716) 768-2006

Map and Directions

Get Directions

NPI Details

FREDERICK MICHAEL ELLIOTT, MD, PLLC is a clinic center in Buffalo, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FREDERICK MICHAEL ELLIOTT, MD, PLLC NPI is 1336487396. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmwood Village Primary Care.

The provider's business location address is:

897 DELAWARE AVE STE 205
BUFFALO, NY
ZIP 14209-087
Phone: (716) 768-2006
Fax: (716) 768-2007

The provider's authorized official is Frederick Michael Elliott .
The authorized official title is Physician And Owner and has the following contact phone number (716) 768-2006.

The enumeration date for this NPI number is 1/26/2013 and was last updated on 1/26/2013.

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
1261Q00000XClinic/Center236287NEW YORKYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI