Elliot Charles Maness, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3609 Issued in AZ

Practice address

2755 Silver Creek Rd Ste 111
Bullhead City, AZ 86442-8343

Phone

(928) 704-7163

Fax

(928) 444-1326

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elliot.maness.1@1575.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliated Southwest Surgeons PC

  • Surgery Physician
  • Glendale, AZ
  • NPI 1053418327
  NPD (past)
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  NPD (past)
• Bradley K Becker, PC

  • Plastic and Reconstructive Surgery Physician
  • Glendale, AZ
  • NPI 1255519260
  NPD (past)
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787

  Surgery

  NPD (past)
• Lpwallmd PC

  • Vascular Surgery Physician
  • Scottsdale, AZ
  • NPI 1457168643
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1861476145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 111",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428343",
            "telephone_number": "928-704-7163",
            "fax_number": "928-444-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 111",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428343",
            "telephone_number": "928-704-7163",
            "fax_number": "928-444-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESS",
        "first_name": "ELLIOT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elliot.maness.1@1575.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2755 Silver Creek Rd Ste 111",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly Lynn Lupian, LDO
• Michael T Lutz, COTA
• M.a.Nayer, M.D.,P.C.
• Gerald Mac Donald Jr.
• Javed Malik, M.D.
• Krushna Mantri
• Shauna Lynn Marlowe, FNP-BC
• Laura E Martinez
• Maria Angela Milaor Matabang, M.D.
• Shellby Taylor Mayo, LPC

• Surgery Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.