Elliott Medical Services, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2366 Issued in OK

Legal business name

ELLIOTT MEDICAL SERVICES, INC

Practice address

122 E Eufaula St
Norman, OK 73069-6017

Phone

(405) 640-9085

Fax

(405) 360-5607

NPI assigned

Nov 2, 2008

Last updated

Nov 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bob Elliott, D.O.

Title

President

Phone

(405) 640-9085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225584000000",
    "number": "1831342906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 W MAIN ST # 523",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724805",
            "telephone_number": "405-640-9085",
            "fax_number": "405-360-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E EUFAULA ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696017",
            "telephone_number": "405-640-9085",
            "fax_number": "405-360-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-640-9085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106530 C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathrin Andrews Eliot, R.D.
• Elise R Wiesner MD PC
• Merrie Michal Elisens, PH.D.
• Gael Elizondo, RBT
• Jeremy Paul Elledge, LCSW
• Amanda Elliott
• Bobby L Elliott, DO
• Hannah Elliott
• Rebecca Elliott
• Brian Thomas Ellis, MD

• General Practice Physician in Norman, OK
• Providers in Norman, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; 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.