Kirk E. Elliott, M.D. , LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

023075 Issued in LA

Legal business name

KIRK E. ELLIOTT, M.D. , LLC

Practice address

Dr Kirk Elliot
410 Olive St.
Arnaudville, LA 70512-0187

Phone

(337) 754-7254

Fax

(337) 754-8047

NPI assigned

Oct 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirk Edward Elliott, M.D.NPI 1639104169

Title

Owner

Phone

(337) 754-7254

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Kirk E Elliott MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kirk E. Elliott M.D. LLC

  • Family Medicine Physician
  • Arnaudville, LA
  • NPI 1871915389
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Elliott

  • Family Medicine Physician
  • Arnaudville, LA
  • NPI 1639104169
  Medicare reassignment Care Compare group NPD Authorized official
• Gabe Scott Robin, NP

  • Nurse Practitioner
  • Lafayette, LA
  • NPI 1255568481
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1003005752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DR KIRK ELLIOTT",
            "address_2": "PO BOX 187",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "705120187",
            "telephone_number": "337-754-7254",
            "fax_number": "337-754-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR KIRK ELLIOT",
            "address_2": "410 OLIVE ST.",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "705120187",
            "telephone_number": "337-754-7254",
            "fax_number": "337-754-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK E. ELLIOTT, M.D. , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-754-7254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "023075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Marks

• Legal Medicine in Arnaudville, LA
• Providers in Arnaudville, LA by specialty
• Legal Medicine in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.