Elizabeth A. Endicott, DO
Individual provider Active NPI Pediatrics Physician · Huntington, WV
NPI 1447614326 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1447614326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 3467 (WV)
- Practice address
- 1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656 - Phone
- (304) 691-1300
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physicians and Surgeons, Inc
Practice addresses (Care Compare)
1600 Medical Ctr Dr
Suite 3500
Huntington, WV 25701-3655
Phone (304) 691-1300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191113002292 | WV | Practitioner - Pediatric Medicine | 8729410758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Current |
Accepting new patients | |
| University Physicians & Surgeons, Inc | Pediatrics | Current |
Accepting new patients |
Locations
3075 US Route 60
#D
Huntington, WV 25705
Phone (304) 399-4422
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 3467 | WV | Yes |
Addresses
Primary practice location
1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656
Mailing address
1600 Medical Center Dr
Suite 3500
Huntington, WV 25701-3656
Phone (304) 691-1300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.endicott@marshall.cernerdirect.com | ||
| Direct Messaging Address | elizabeth.endicott@marshall.cernerdirect.com |
Other providers in Huntington, WV
- Frances Elvins
- Sarah Embrey
- Emily Engelland Wilson, PLLC
- Thomas C Emmer
- Patricia Emmert
- Monica Ensign Phillips
- Tonya Renee Eplin
- Caley Hope Epling
- Emily Epling
- Kathy Jack Eplion
All providers in Huntington, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.