Individual provider Active NPI

Anthony John Elisco III, D.O.

  • Urology Physician
  • Greenville, TX
National Provider Identifier
1922021856
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
Q9805 Issued in TX
Practice address
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Phone
(903) 408-7930
Fax
(903) 408-7929
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS007527L PA
Urology Physician 208800000X Q9805 TX Primary

Addresses

Primary practice location

4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834

Other identifiers 2

IdentifierTypeStateIssuer
366443501MedicaidTX
539307YMPGOtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040511000285 PA Practitioner - UrologyPractitioner - General Surgery 0345239208 Reassigns benefits to 1 organization
I20161111001234 TX Practitioner - Urology 0345239208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Regional Medical Partners Specialists 17 clinicians

Practice addresses (Care Compare)

4211 Joe Ramsey Blvd E
Suite 100
Greenville, TX 75401-7856
Phone (903) 408-7771

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS007527LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Medical Partners Specialists CurrentSince Sep 1, 2019 Accepting new patients
Upmc Community Medicine Inc CurrentSince Mar 1, 2012 Accepting new patients
Upmc Community Medcine Inc CurrentSince Mar 1, 2012 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Hunt Regional Medical Partners CurrentSince Nov 28, 2016 Accepting new patients
Northwestern Pennsylvania Urology Assoc PC Urology PastSince Jun 4, 1996 Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2623 Wilmington Rd
#B
New Castle, PA 16105
Phone (724) 588-6660

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067

Interoperability endpoints

  • Direct secure messaging: anthony.elisco.3@9148.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1922021856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5834",
            "fax_number": "903-408-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-408-7930",
            "fax_number": "903-408-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISCO",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OS007527L",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "Q9805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366443501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "539307YMPG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.