Elisabeth Noelke MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J0164 Issued in TX

Legal business name

ELISABETH NOELKE MD PA

Practice address

12 E Twohig Ave
San Angelo, TX 76903-6433

Phone

(325) 617-9065

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Elisabeth Noelke, M.D.

Title

Physician

Phone

(325) 617-9065

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1205066289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-617-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-617-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH NOELKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "NOELKE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "325-617-9065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211238501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0025SJ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111604802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN RENDERING NPI",
            "identifier": "8F22613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Jo Edwards
• Kristy D Edwards, MD
• Mark S Edwards, MD
• Traci L Eichin, LCDC, LPC
• Reese R Elder
• Carrie Elkins, LPC
• Brooke Elliott, LCSW
• Bryan Mitchell Elliott, LPC, LMFT
• Nicole E Elliott, LMSW
• Karen Elaine English, M.D.

• Family Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.