Active NPIIndividual provider

Dr. Eric M Elliot, DMSC, PA-C

Physician Assistant in Oconomowoc, Wisconsin

NPI Number1508825605
Practice location
888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342
Fax
262-330-0062
Last updated
March 3, 2025

Eric M Elliot is a Physician Assistant based in Oconomowoc, WI. Eric M Elliot practices in Oconomowoc, WI and has the professional credentials of DMSC, PA-C. The NPI Number for Eric M Elliot is 1508825605 and holds a License No. PA850 (ME). The current practice location address for Eric M Elliot is 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 and can be reached out via phone at 262-330-0062 and via fax at 262-330-0062.

Provider Profile Details

NPI Number
1508825605
Provider Name
Eric M Elliot
Credential
DMSC, PA-C
Provider Entity Type
Individual
Gender
Male
Address
888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342
Phone Number
262-330-0062
Fax Number
262-330-0062
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2006
Last Update Date
March 3, 2025
Certification Date
March 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
888 Thackeray Trl Ste 103
Oconomowoc, WI 53066-4342
Zip
53066-4342
Phone Number
262-330-0062
Fax Number
262-330-0062
Oconomowoc, WI 53066Get directions →

Provider Business Mailing Address Details

Address
200 W Summit Ave Ste 290
Wales, WI 53183-9427
City
Wales
State
WI
Zip
53183-9427
Phone Number
844-726-3926
Fax Number
857-364-6016

License Information

License Number (1)
PA850
License State (1)
ME
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
3443-23
License State (2)
WI
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eric M Elliot, DMSC, PA-C?

The NPI number of Dr. Eric M Elliot, DMSC, PA-C is 1508825605. It was assigned on March 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eric M Elliot, DMSC, PA-C?

Dr. Eric M Elliot, DMSC, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA850.

Where does Dr. Eric M Elliot, DMSC, PA-C practice?

The practice location is 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342. The office can be reached at 262-330-0062 (phone) or 262-330-0062 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508825605 directly on the NPPES registry website.

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