Elite Specialty Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

34005251 Issued in OH

Legal business name

ELITE SPECIALTY CARE, LLC

Practice address

4995 Bradenton Ave
Suite 130
Dublin, OH 43017-3543

Phone

(614) 734-5000

Fax

(614) 734-5001

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Dixon, D.O.

Title

Partner

Phone

(614) 734-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1396093290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173543",
            "telephone_number": "614-734-5000",
            "fax_number": "614-734-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173543",
            "telephone_number": "614-734-5000",
            "fax_number": "614-734-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPECIALTY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-734-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "34005251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.