Robert Michael Elliott, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G29258 Issued in CA

Practice address

3001 E Tahquitz Canyon Way Ste 104
Palm Springs, CA 92262-6900

Phone

(949) 263-0800

Fax

(657) 304-0084

NPI assigned

Feb 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1942479746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E TAHQUITZ CANYON WAY STE 104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626900",
            "telephone_number": "760-832-5027",
            "fax_number": "760-620-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E TAHQUITZ CANYON WAY STE 104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626900",
            "telephone_number": "949-263-0800",
            "fax_number": "657-304-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G29258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Elisha, MD
• Bailee Ann Ellenz
• Andrew James Elliott, MD MPH
• Joan Elliott, PSYD
• Matthew John Elliott, PA-C
• Sung Jin Elms, PT, DPT
• Rami Samir Elmufdi, MD
• Christopher Elorde
• Jonathan Raymond Elorde, RN
• Joana Elston, AGACNP-BC

• Procedural Dermatology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Procedural Dermatology Physician in California

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