Michael W Elliott II MD

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MICHAEL W ELLIOTT II MD

Practice address

807 W Craft St
Robinson, IL 62454

Phone

(618) 546-5052

Fax

(618) 544-2094

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Amy Goodwin

Title

RHC Coordinator

Phone

(618) 546-5052

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Leigh Holt, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Robinson, IL
  • NPI 1184958787
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1417989237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W CRAFT ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "62454",
            "telephone_number": "618-546-5052",
            "fax_number": "618-544-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W CRAFT ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "62454",
            "telephone_number": "618-546-5052",
            "fax_number": "618-544-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W ELLIOTT II MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "RHC COORDINATOR",
        "authorized_official_telephone_number": "618-546-5052"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102103",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Matheney, BS
• Kristofer Mattis, PT, DPT, CSCS
• Danielle McCoy, PTA
• Pat L McMillan, DDS
• Sarah Beth Meese, CCC-SLP
• Katherine Elaine Midgett, APRN
• Midwest Care Robinson, LLC
• Mindy Moore, NURSE'S AIDE
• Jennifer Lynn Mulbury, MD
• Sherri K Murrell, LCSW

• Rural Health Clinic/Center in Robinson, IL
• Providers in Robinson, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.