Active NPI
Andrew Mark Eliason, D.C.
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1669790192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10001
- Practice address
- 6705-B 38TH Avenue. N
St Petersburg, FL 33710 - Phone
- (727) 381-3456
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10001 | FL | Primary |
Addresses
Primary practice location
6705-B 38TH Avenue. N
St Petersburg, FL 33710
Mailing address
6400 46TH Ave N Apt 37
Kenneth City, FL 33709-3153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Ivey Rd
Graham, NC 27253-3718
Phone (336) 227-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JPB Healthcare PC | Chiropractor | Current | Accepting new patients |
| Jeffrey E Raheb DC LLC | Chiropractor | Past | Accepting new patients |
Locations
2551 S Church St
Burlington, NC 27215
Phone (336) 260-1140
1454 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 644-2700
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 and National Provider Directory roles.
-
- Chiropractor
- Burlington, NC
- NPI 1821160052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1669790192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 46TH AVE N APT 37",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337093153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6705-B 38TH AVENUE. N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-381-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIASON",
"first_name": "ANDREW",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "10001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.