Elevate Medical Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104322 Issued in FL

Legal business name

ELEVATE MEDICAL INC.

Practice address

2349 Vanderbilt Beach Rd Ste 508
Naples, FL 34109-2776

Phone

(662) 501-0043

Fax

(662) 562-0161

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Loretta C Harrell

Title

Billing Manager

Phone

(662) 501-0043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1205334331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EAGLE ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386689501",
            "telephone_number": "662-501-0043",
            "fax_number": "662-562-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 VANDERBILT BEACH RD STE 508",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092776",
            "telephone_number": "662-501-0043",
            "fax_number": "662-562-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "662-501-0043"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.