Ronald Glenn Elliott, CO/ LO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

231 Issued in TX

Practice address

7451 Country Walk Dr
Carlisle, OH 45005-7917

Phone

(513) 217-7763

NPI assigned

Jan 9, 2009

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

Other names 1

• Ronald Glenn Elliott Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1396982500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "address_2": "4100 WEST THRID STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-268-6511",
            "fax_number": "937-267-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 COUNTRY WALK DR",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450057917",
            "telephone_number": "513-217-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "RONALD",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "CO/ LO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST",
            "identifier": "222ZOOOOOX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "ELLIOTT",
            "middle_name": "GLENN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlisle Local School District
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• Carlisle Pharmacy LLC
• Ciara Chamberlain
• Glenda Dean
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• Chelsea Hackney
• Zachary Allen Haddox, PMHNP
• Anthony Scott Hawkins, L.P.N.

• All providers in Carlisle, OH
• Orthotist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.