Elliott OB GYN Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35085807 Issued in OH

Legal business name

ELLIOTT OB GYN INC

Practice address

1600 E Riverview Ave
Suite 105
Napoleon, OH 43545-9805

Phone

(419) 599-0055

Fax

(419) 599-0089

NPI assigned

Sep 27, 2007

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Elliott, M.D.NPI 1225136138

Title

President

Phone

(419) 599-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Elliott, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, MN
  • NPI 1225136138
  NPD (past) Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1336336940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055",
            "fax_number": "419-599-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055",
            "fax_number": "419-599-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-599-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35085807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Durham, CNM
• Julia Eberle
• Mindy Ann Edwards, LSW
• Kori A Ekstrom, QMHS
• Cody Elling, PTA
• Cassandra Elston, PRS, CDCA
• Marilyn Irene Emery, R.N.
• Encompass Care, Inc.
• Envision Anesthesia Services of Ohio Inc
• Diana Esquibel, LPN

• Specialist in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.