NPI 1104845569 · live from the CMS NPI Registry
Michael Johnathon Elliott, M.D.
Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Reno, NV. National Provider Identifier 1104845569, active.
NPI record
| NPI | 1104845569 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Pediatric Orthopaedic Surgery 207XP3100X |
| Practice location | 1500 E 2nd St Ste 300, Reno, NV 89502 |
| Practice phone | 775-982-5000 |
| Mailing address | 850 Harvard Way, Reno, NV 89502 |
| Enumerated | July 18, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | G75995 (CA) |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery primary | 207XP3100X | 18506 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.