Paul a Elliott DO PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PAUL A ELLIOTT DO PA

Practice address

506 SW Federal Highway
Suite 101
Stuart, FL 34994-2827

Phone

(772) 224-2221

Fax

(772) 288-6374

NPI assigned

Oct 22, 2010

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul A Elliott, DONPI 1801876669

Title

Owner

Phone

(772) 288-6300

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul A Elliott, DO

  • Neurology Physician
  • Stuart, FL
  • NPI 1801876669
  Medicare reassignment NPD Authorized official
• Melissa Deeann Martz, APRN

  • Family Nurse Practitioner
  • Greenacres, FL
  • NPI 1558724393
  Medicare reassignment NPD
• Philip Lortz, MD

  • Neurology Physician
  • Port St Lucie, FL
  • NPI 1043226061
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1609176817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2229",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349952229",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SW FEDERAL HIGHWAY",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942827",
            "telephone_number": "772-224-2221",
            "fax_number": "772-288-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A ELLIOTT DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS6351",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnita Patillo
• Maria Jose Patino
• Stephen Russell Patten, M.D.
• Katrin Patterson
• Melissa Patterson
• Paul N Gotkin & David a Gubernick DPM PA (Treasure Coast Podiatry)
• Paul R. Schoppe DPM (Family Foot & Ankle)
• Tania Lenoir Paul
• Sarah Catherine Paulick, LMHC, CCTP
• Kevin Paulin, PHARMD

• Neurology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.