Allegiance Medical, Inc.
Organization Active NPI Internal Medicine Physician · Oconomowoc, WI
NPI 1831862895 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1831862895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLEGIANCE MEDICAL, INC.
- Practice address
- 888 Thackeray TRL Ste 103
Oconomowoc, WI 53066-4342 - Phone
- (844) 726-3926
- Fax
- (844) 726-3926
- NPI assigned
- Jul 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Eric M Elliot, DMSC, PA-C
- Title
- President
- Phone
- (844) 726-3926
Practitioners 2
-
Eric M Elliot, DMSC, PA-C
-
Sarah L Elliot, MSN, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2328858 | Allegiance Medical, SC | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
Locations
925 Genesee St
Unit 180620
Delafield, WI 53018
200 W Summit Ave
Ste 290
Wales, WI 53183
Phone (844) 726-3926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
888 Thackeray TRL Ste 103
Oconomowoc, WI 53066-4342
Mailing address
925 Genesee St # 180620
Delafield, WI 53018-9998
Phone (844) 726-3926
Other names
- Allegiance Medical Group
Other providers in Oconomowoc, WI
- Gerard G Adler
- Ag Therapy LLC
- Sara Lynn Agamaite
- Aimee Metzger Psychotherapy LLC
- Carey Lynn Alber
- Abby Jean Allen
- Charles Edward Allen Jr.
- Kiah Allen
- Alliance Health Services S.C.
- Amanda Donath Psychological Services S C
All providers in Oconomowoc, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.