William G Elliott, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

03390 Issued in AZ

Practice address

75 Colonia de Salud
Suite 200B
Sierra Vista, AZ 85635-2487

Phone

(520) 417-0468

Fax

(520) 459-0526

NPI assigned

Jul 4, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Merit-based Incentive Payment System (MIPS)

Final score

24.71 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

82.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: wgelliott@cochiseheartcenter.direct.emds.com

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

• Cochise Heart Center PLLC

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1295835882
  Medicare reassignment Authorized official
• Marc a Kaplan PLLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1699796631
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1649200403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD",
            "address_2": "SUITE 200B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352487",
            "telephone_number": "520-417-0468",
            "fax_number": "520-459-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "03390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445008",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0761240",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Megan Eidson, MSW
• Njideka Augustina Ekwelundu, RPH.
• Leila El Mohamed, MASSAGE THERAPIST
• Atef Adel Elami, MD
• Linda Elaine Elliott, MAED
• Lauri Ellis, RN
• Ronald Michaael Ellsworth Jr., RN
• Cody Elmer, PHARMD
• Sarah Elmer, PHARMD
• Theresa M Emrie, L.AC, MACOM

• Cardiovascular Disease Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.