Nathan B Eliason, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

3099134-1205 Issued in UT

Practice address

677 W 5300 S
Murray, UT 84123-5671

Phone

(801) 327-8700

Fax

(801) 290-2847

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Temple University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Wellness and Rehab Clinic LLCGroup PAC ID 3274760335, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: americanwellness&rehabclinicllc.nathaneliason@135094.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Wellness & Rehab Clinic LLC

  • Family Medicine Physician
  • Murray, UT
  • NPI 1417234766
  Medicare reassignment Care Compare group NPD
• Anatomic Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Salt Lake City, UT
  • NPI 1558441485
  Medicare reassignment NPD
• Comprehensive Medical Services Jordan Health and Wellness Center, Inc

  • Clinic/Center
  • Murray, UT
  • NPI 1568721496
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073557583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700",
            "fax_number": "801-290-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700",
            "fax_number": "801-290-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASON",
        "first_name": "NATHAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "7074A",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "3099134-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wellnessandrehabclinic.com",
            "affiliation": "Y",
            "endpointDescription": "www.wellnessandrehabclinic.com",
            "affiliationName": "American Wellness & Rehab Clinic LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "677 W 5300 S",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841235671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Hedges Eixenberger
• Candas Marie Elder, LCSW
• Frank David Elder, LCSW
• Jenny Lou Eldredge
• Eli Healthcare LLC
• Shannon M Elite
• Brittney Ellingson, BCBA
• John T Elliott, M.D.
• Kelli Elliott, PT, DPT
• Malia Ellis

• Adult Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Adult Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.