Gerald W. Elliott in Lexington - Dermatology

Gerald W. Elliott - NPI 1225063175

Gerald W. Elliott is a Dermatology in Lexington, Kentucky. Gerald W. Elliott practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Gerald W. Elliott is 1225063175. The last update date is 2007-11-02.

Gerald W. Elliott's current location address is 120 N Eagle Creek Dr, Lexington, Kentucky. You can contact this provider via phone number 8592585270 and fax number 8592585202. The mailing address for Gerald W. Elliott is 120 N Eagle Creek Dr, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald W. Elliott
Address 120 N Eagle Creek Dr, Lexington, Kentucky
Phone Number 8592585270
Fax Number 8592585202
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1225063175
Provider Enumeration Date 2006-07-11
Last Updated Date 2007-11-02

Provider Mailing Address Detail

Address 120 N Eagle Creek Dr
City Lexington
State Kentucky (KY)
Post Code 405091827
Phone Number 8592585270
Fax Number 8592585202

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 26524
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CB5773 KY RAILROAD MEDICARE GROUP
37903705 KY MEDICAID LAB GROUP
64265242 KY --
ASC1019 KY ASC MEDICARE GROUP
36000818 KY ASC MEDICAID LAB GROUP
4000501 KY MEDICARE LAB GROUP

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FAQs about Gerald W. Elliott

What is the unique 10-digit identifier code assigned to Gerald W. Elliott by the Centers for Medicare & Medicaid Services?

The Gerald W. Elliott has been issued the NPI (National Provider Identifier) 1225063175 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Gerald W. Elliott is geographically located?

The Gerald W. Elliott is physically situated at the following location: 120 N Eagle Creek Dr, Lexington, KY, 405091827.

What is Gerald W. Elliott's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gerald W. Elliott's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

On what date did Gerald W. Elliott receive its 1225063175 assignment from the Centers for Medicare & Medicaid Services?

The Gerald W. Elliott was assigned its 1225063175 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gerald W. Elliott last refreshed?

The information related to the Gerald W. Elliott, including its address, specialty, and other relevant details, was last updated on 2007-11-02.

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