Arne Holger Eliasson II, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

BP10081368 Issued in TX

Practice address

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Phone

(301) 906-7200

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1760114706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 MEADOW DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765491511",
            "telephone_number": "301-906-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "301-906-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASSON",
        "first_name": "ARNE",
        "middle_name": "HOLGER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10081368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOD ID",
            "identifier": "1043594741",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING PERMIT",
            "identifier": "BP10081368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Nicole Edmondson, LCSW
• Brittany Iresha Edwards, CNM, WHNP
• Jessika Lee Edwards, LVN
• Kayla Renee Eggenberger, RDH
• Mark Andrew Elefante
• Nathan Elliott, DDS
• Lucinda Ellis, RN
• Stephen David Ellwood, PHARM.D.
• Paul Enberg, DDS
• James J. Endres, DDS

• Psychiatry Physician in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.