ERIC ELIZONDO MD
NPI 1194428755
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 23, 2023PECOS Enrolled
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ERIC ELIZONDO

This page provides the complete NPI Profile along with additional information for Eric Elizondo, a primary care provider established in Saint Louis, Missouri with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1194428755 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1194428755 Verify this NPI
Provider Name
ERIC ELIZONDO MD
Gender
Male
Entity Type
Individual
Location Address
1201 S GRAND BLVD SAINT LOUIS, MO 63104
Location Phone
(314) 257-8000
Mailing Address
1008 S SPRING AVE FL 3 SAINT LOUIS, MO 63110
Mailing Phone
(314) 977-4830
Mailing Fax
(314) 977-1783
Is Sole Proprietor?
No
Enumeration Date
03-23-2023
Last Update Date
03-23-2023
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A primary care provider (PCP) like Eric Elizondo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Eric Elizondo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Clinical Nurse Specialist (Medical-Surgical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine (Pulmonary Disease)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant (Medical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Gerontology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Urology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology (Critical Care Medicine)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Surgery (Trauma Surgery)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194428755, enumerated as an "individual" on March 23, 2023.

The provider is located at 1201 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 257-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.