Individual provider Active NPI

Esther Elizabeth Elliott, MD

  • Family Medicine Physician
  • Easton, MD
National Provider Identifier
1548239676
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D59939 Issued in MD
Practice address
508 Idlewild Ave
Easton, MD 21601-3834
Phone
(410) 822-9133
Fax
(410) 822-9513
NPI assigned
Mar 14, 2006
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D59939 MD Primary

Addresses

Primary practice location

508 Idlewild Ave
Easton, MD 21601-3834

Mailing address

PO Box 2142
Easton, MD 21601-8942
Phone (410) 822-6175

Other identifiers 1

IdentifierTypeStateIssuer
401998900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000457 MD Practitioner - Family Practice 0345266037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Miles River Primary Care LLC Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Robert B Sanchez, MD PA Family Medicine PastSince Dec 21, 2009 Accepting new patients

Locations

607 Dutchmans Ln
Easton, MD 21601
Phone (410) 822-8447

8579 Commerce Dr
Ste 104
Easton, MD 21601
Phone (410) 822-8550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1548239676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2142",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018942",
            "telephone_number": "410-822-6175",
            "fax_number": "410-604-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013834",
            "telephone_number": "410-822-9133",
            "fax_number": "410-822-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ESTHER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D59939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401998900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.