Elizabeth Eversull MD

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

L5328 Issued in TX

Legal business name

ELIZABETH EVERSULL MD

Practice address

1600 Coit Rd
Suite 103
Plano, TX 75075-6174

Phone

(214) 516-9722

Fax

(972) 612-5048

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth India Eversull, M.D.NPI 1154380517

Title

Proprietor

Phone

(214) 516-9722

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elizabeth Eversull, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plano, TX
  • NPI 1154380517
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1093994865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835926",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835926",
            "telephone_number": "214-516-9722",
            "fax_number": "972-612-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "214-516-9722",
            "fax_number": "972-612-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH EVERSULL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "EVERSULL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "INDIA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "214-516-9722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "L5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care Internal Medicine PLLC
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• Elite Prime Life
• Elite Spine Assist, PLLC
• Elite Surgery Center
• Elizabeth Kerner, M.D., P.a.
• Mark Elizondo, LCSW
• Ahmed Elkaialy, MD
• Lisa McGillvary Elkin
• Amyra Elkins

• Pain Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.