KIRK E. ELLIOTT, M.D. , LLC NPI 1003005752

Legal Medicine in Arnaudville, LA

NPI 1003005752 Organization Legal Medicine

About KIRK E. ELLIOTT, M.D. , LLC

Kirk E. Elliott, M.d. , Llc is a provider established in Arnaudville, Louisiana specializing in legal medicine. The NPI number of Kirk E. Elliott, M.d. , Llc is 1003005752 and was assigned on October 2007. The practitioner's primary taxonomy code is 173000000X with license number 023075 (LA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Kirk E. Elliott, M.d. , Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kirk Edward Elliott M.d. (Owner)

NPI

1003005752

Provider NameKIRK E. ELLIOTT, M.D. , LLC
Provider Location AddressDR KIRK ELLIOT 410 OLIVE ST. ARNAUDVILLE, LA 70512
Provider Mailing AddressDR KIRK ELLIOTT PO BOX 187 ARNAUDVILLE, LA 70512
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-18-2007
Last Update Date06-02-2008


Primary Taxonomy

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
License No.023075
License StateLA
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

KIRK E. ELLIOTT, M.D. , LLC
DR KIRK ELLIOT
410 OLIVE ST.
ARNAUDVILLE, LA
ZIP 70512
Phone: (337) 754-7254
Fax: (337) 754-8047

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Mailing Address

KIRK E. ELLIOTT, M.D. , LLC
DR KIRK ELLIOTT
PO BOX 187
ARNAUDVILLE, LA
ZIP 70512
Phone: (337) 754-7254
Fax: (337) 754-8047



Authorized Official

Authorized Official Name KIRK EDWARD ELLIOTT M.D.
Authorized Official TitleOWNER
Authorized Official Phone(337) 754-7254

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G61863MEDICARE UPIN (02)LA
5CP69MEDICARE PIN (08)LA
1491063MEDICAID (05)LA
DD4292MEDICARE PIN (08)LA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.