Individual provider Active NPI

Carl George Elswick, QMHS

  • Case Manager/Care Coordinator
  • Wheelersburg, OH
National Provider Identifier
1720594773
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
418 Center St
Wheelersburg, OH 45694-1712
Phone
(740) 776-2785
Fax
(740) 776-2793
NPI assigned
Dec 28, 2017
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

418 Center St
Wheelersburg, OH 45694-1712

Mailing address

418 Center St
Wheelersburg, OH 45694-1712
Phone (740) 776-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mahajan Therapeutics, LLC Past Accepting new patients
Mahajan Therapeutics, LLC Past Accepting new patients

Organizations & group practices 2

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1720594773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CENTER ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941712",
            "telephone_number": "740-776-2785",
            "fax_number": "740-776-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CENTER ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941712",
            "telephone_number": "740-776-2785",
            "fax_number": "740-776-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSWICK",
        "first_name": "CARL",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "QMHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.