NPIMap

Individual provider Active NPI

Paul A Elliott, DO

  • Neurology Physician
  • Stuart, FL
National Provider Identifier
1801876669
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS6351 Issued in FL
Practice address
506 SW Federal Highway
Suite 101
Stuart, FL 34994-2827
Phone
(772) 288-6300
Fax
(772) 288-6374
NPI assigned
Jan 18, 2006
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS6351 FL Primary

Addresses

Primary practice location

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

Mailing address

PO Box 2229
Stuart, FL 34995-2229
Phone (772) 288-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000551 FL Practitioner - Neurology 2466482930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

506 SW Federal Hwy
Suite 101
Stuart, FL 34994-2827
Phone (772) 288-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a Elliott DO PA Neurology CurrentSince Jun 25, 1992 Accepting new patients
Healthcare Services Past Accepting new patients
Healthcare Services Past Accepting new patients
Center for Specialized Dentistry, LLC Past Accepting new patients

Locations

1889 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 214-2122

506 SW Federal Hwy
Ste 101
Stuart, FL 34994
Phone (772) 600-7033

931 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (772) 283-3820

Interoperability endpoints

  • Direct secure messaging: paul.elliott@paedp.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1801876669",
    "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": "772-288-6300",
            "fax_number": "772-288-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS6351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.