Elle MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELLE MD PLLC

Practice address

702 W 11 Mile Rd
Royal Oak, MI 48067-2411

Phone

(248) 622-2694

NPI assigned

Jun 24, 2022

Organization subpart

No

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

Authorized official

Name

Erin Hendriks, MD

Title

Part-Owner

Phone

(248) 622-2694

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Maricela Castillo Mackenzie, MD

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1992930671
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1295466720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672411",
            "telephone_number": "248-284-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672411",
            "telephone_number": "248-622-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "HENDRIKS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "248-622-2694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fares M Elias, DDS
• Marisa Elias, M.D.
• Sophia Ann Elias, LLMSW
• Elissa Ruth Driker LMSW LLC
• Elizabeth McCarthy Ma LPC PLLC
• Samantha Ellis
• Abigayle Monson Ellison, APRN, MSN, FNP-C
• Grace Ellul
• Erin Grace Elshaer, CRNA
• Eltayeb H Elshiekh, MD

• Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.