KATHARINA E ELLIOTT NPI 1710956347

NPI Information

  • NPI: 1710956347
  • Provider Name: KATHARINA E ELLIOTT
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 JOHN ST
    SUITE M005
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 341-6350

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NPI Details

Katharina E Elliott is a pediatric hematology-oncology pediatrics in Kalamazoo, MI with 34 years of experience. 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.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1992

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
12080P0207XPediatricsPediatric Hematology-Oncology4301072976MICHIGANYes

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
11710956347MEDICAIDMICHIGAN
23503904111OTHERBCBS
34186840MEDICAIDMICHIGAN
41417961137OTHERMICHIGANBCBSM - 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: 11/21/2025

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