Elizabeth A Prosser, M.D.,F.A.C.P.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-05-3562 Issued in OH

Practice address

1917 Williamsburg Way NE
Louisville, OH 44641-8781

Phone

(330) 875-3366

Fax

(330) 875-1106

NPI assigned

Jun 24, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Louisville Medical Center Physicians Inc.

  • Internal Medicine Physician
  • Louisville, OH
  • NPI 1760452585
  NPD

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1376549212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856400",
            "telephone_number": "330-899-9350",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 WILLIAMSBURG WAY NE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418781",
            "telephone_number": "330-875-3366",
            "fax_number": "330-875-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.D.,F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette R Phillips, R.N.
• Vincenzo D Pilolli, CNP
• Progressive Green Meadows LLC
• Progressive Green Meadows, LLC
• Progressive Quality Care Inc
• Kristen Anderson Quicci, BSN, RN
• Alice Quintella
• Maia Randle
• Nedra Starlene Rayner
• Lisa Marie Reasoner, RPH

• Internal Medicine Physician in Louisville, OH
• Providers in Louisville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.