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SANDRA Y ELLIOTT MD INC NPI 1346402161


NPI Information

NPI: 1346402161
Provider Name: SANDRA Y ELLIOTT MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3501 MACCORKLE AVE SE
SUITE 202
CHARLESTON, WV
ZIP 25304
Phone: (304) 421-4514
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SANDRA Y ELLIOTT MD INC is a specialist in Charleston, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SANDRA Y ELLIOTT MD INC NPI is 1346402161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3501 MACCORKLE AVE SE
SUITE 202
CHARLESTON, WV
ZIP 25304-419
Phone: (304) 421-4514
Fax: (877) 893-7441

The provider's authorized official is Sandra Young Elliott .
The authorized official title is Owner and has the following contact phone number (304) 421-4514.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist15724WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19368061MEDICARE PINWEST VIRGINIA

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

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.