Thomas Joseph Elton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4482 Issued in AK

Practice address

11823 Old Glenn Hwy
Ste. 104
Eagle River, AK 99577-7734

Phone

(907) 696-2273

NPI assigned

Feb 3, 2006

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Acute Family Medicine Clinic Inc

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1679704688
  NPD (past)
• Southcentral Foundation

  dba BSD- Detox

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)
• Southcentral Foundation

  dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1386680056
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1356313266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11823 OLD GLENN HWY",
            "address_2": "STE. 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777734",
            "telephone_number": "907-696-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11823 OLD GLENN HWY",
            "address_2": "STE. 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777734",
            "telephone_number": "907-696-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTON",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4482",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Elaine Efird, MASSAGE THERAPIST
• Mary Ann Egbert, ANP
• Brittany Ellana Eibeck
• Lindsay Rachel Ekiss, ANP
• Samantha D Elliot, LMT
• Enghirst Corporation (Eagle River Smiles)
• Bryan J Enghirst, DDS
• Camden Robert Ensign
• Eric Unruh Counseling, LLC
• Essential Energy

• Family Medicine Physician in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.